Idaho
Division of Occupational and Professional Licenses
MIRANDA LYNN BALLARD
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3012
Date granted
07/10/2012
Date expires
12/24/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
CALDWELL ID 83605
idaholicensing.com
ID 43730380
LAST UPDATED 2024-03-02 23:53:47 UTC
LAST UPDATED 2024-03-02 23:53:47 UTC
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