Idaho
Division of Occupational and Professional Licenses
LONDA RUSSELLE TATARYN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1239
Date granted
09/08/1997
Date expires
08/26/2011
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
WALLA WALLA WA 99362
idaholicensing.com
ID 43733289
LAST UPDATED 2024-04-13 21:08:41 UTC
LAST UPDATED 2024-04-13 21:08:41 UTC
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