Idaho
Division of Occupational and Professional Licenses
MR. AMMON BENJAMIN BIRK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4245
Date granted
07/29/2015
Date expires
01/16/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
TWIN FALLS ID 83301
idaholicensing.com
ID 43730518
LAST UPDATED 2024-03-06 11:47:15 UTC
LAST UPDATED 2024-03-06 11:47:15 UTC
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