Idaho
Division of Occupational and Professional Licenses
KIMBERLY JEAN LARSEN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 063
Date granted
04/10/1995
Date expires
07/01/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
MERIDIAN ID 83646
idaholicensing.com
ID 43734344
LAST UPDATED 2024-03-06 11:14:12 UTC
LAST UPDATED 2024-03-06 11:14:12 UTC
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