Idaho
Division of Occupational and Professional Licenses
MR. MICHAEL J BROADWELL
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4040
Date granted
05/26/2015
Date expires
01/17/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
HOPEWELL JUNCTION NY 12533
idaholicensing.com
ID 43730602
LAST UPDATED 2026-03-25 01:24:27 UTC
LAST UPDATED 2026-03-25 01:24:27 UTC
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