Idaho
Division of Occupational and Professional Licenses
KIMBERLY DAWN MARTIN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 188
Date granted
01/19/1999
Date expires
02/15/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
Shelly ID 83274
idaholicensing.com
ID 43734393
LAST UPDATED 2024-02-19 14:51:43 UTC
LAST UPDATED 2024-02-19 14:51:43 UTC
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