Idaho
Division of Occupational and Professional Licenses
MR. TIMOTHY JAMES FRATICELLI
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4482
Date granted
05/25/2016
Date expires
08/30/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
GRAND LEDGE MI 48837
idaholicensing.com
ID 43731225
LAST UPDATED 2026-08-04 14:04:23 UTC
LAST UPDATED 2026-08-04 14:04:23 UTC
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