License holder summary

P KIM PETERSEN is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for P KIM PETERSEN is IDAHO FALLS ID 83404. This licensed professional license is current. The license was granted 06/01/1999 and expired on 01/26/2017.

Idaho

Division of Occupational and Professional Licenses

P KIM PETERSEN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 208
Date granted
06/01/1999
Date expires
01/26/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
IDAHO FALLS ID 83404
idaholicensing.com
ID 43734530
LAST UPDATED 2024-03-27 19:37:44 UTC

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