Idaho
Division of Occupational and Professional Licenses
KIMBERLY ANN MAZIK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1168
Date granted
04/07/1997
Date expires
11/30/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
Hailey ID 83333
idaholicensing.com
ID 43732228
LAST UPDATED 2024-05-05 15:04:52 UTC
LAST UPDATED 2024-05-05 15:04:52 UTC
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