Idaho
Division of Occupational and Professional Licenses
MARY ANN KODAK
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 313
Date granted
05/30/2002
Date expires
01/29/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
Post Falls ID 83854
idaholicensing.com
ID 43734305
LAST UPDATED 2024-04-14 17:09:07 UTC
LAST UPDATED 2024-04-14 17:09:07 UTC
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