Idaho
Division of Occupational and Professional Licenses
NICOLLE JERI DAVIS
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2998
Date granted
03/27/2012
Date expires
02/20/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
IDAHO FALLS ID 83402
idaholicensing.com
ID 43733972
LAST UPDATED 2024-04-13 21:55:16 UTC
LAST UPDATED 2024-04-13 21:55:16 UTC
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