Idaho
Division of Occupational and Professional Licenses
PATHARA CHAROENSATIT
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2989
Date granted
10/31/2012
Date expires
11/08/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
NEW PLYMOUTH ID 83655
idaholicensing.com
ID 43730753
LAST UPDATED 2024-04-07 15:31:44 UTC
LAST UPDATED 2024-04-07 15:31:44 UTC
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