Idaho
Division of Occupational and Professional Licenses
MR. DEREK RUSSELL POND
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4217
Date granted
08/31/2015
Date expires
03/06/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
SARATOGA SPRINGS UT 84045
idaholicensing.com
ID 43732708
LAST UPDATED 2024-02-08 14:37:00 UTC
LAST UPDATED 2024-02-08 14:37:00 UTC
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