Idaho
Division of Occupational and Professional Licenses
MS. SAMANTHA ANNE ROSE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4090
Date granted
08/25/2015
Date expires
12/23/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
CONSHOHOCKEN PA 19428
idaholicensing.com
ID 43732858
LAST UPDATED 2024-04-24 11:42:35 UTC
LAST UPDATED 2024-04-24 11:42:35 UTC
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