Idaho
Division of Occupational and Professional Licenses
M ANDREW MIX
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1352
Date granted
08/24/1998
Date expires
03/22/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
TWIN FALLS ID 83301
idaholicensing.com
ID 43732360
LAST UPDATED 2024-02-02 10:16:36 UTC
LAST UPDATED 2024-02-02 10:16:36 UTC
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