Idaho
Division of Occupational and Professional Licenses
LEANN LILIANN ANZALONE
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2100
Date granted
07/17/2006
Date expires
04/08/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
VERADALE WA 99037
idaholicensing.com
ID 43733757
LAST UPDATED 2024-03-27 01:08:22 UTC
LAST UPDATED 2024-03-27 01:08:22 UTC
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