License holder summary

SHANNON TARA BARLOW is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for SHANNON TARA BARLOW is POCATELLO ID 83201. This licensed professional license is current. The license was granted 06/28/2004 and expired on 09/17/2016.

Idaho

Division of Occupational and Professional Licenses

SHANNON TARA BARLOW
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1900
Date granted
06/28/2004
Date expires
09/17/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43730394
LAST UPDATED 2024-03-22 07:18:32 UTC

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