Idaho
Division of Occupational and Professional Licenses
MR. JASON SCOTT DETWILER
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4150
Date granted
07/15/2015
Date expires
11/08/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
BOISE ID 83705
idaholicensing.com
ID 43733985
LAST UPDATED 2024-04-24 23:16:38 UTC
LAST UPDATED 2024-04-24 23:16:38 UTC
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