Idaho
Division of Occupational and Professional Licenses
STACY ANEDA DAVIS
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1654
Date granted
08/14/2001
Date expires
01/02/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
POST FALLS ID 83854
idaholicensing.com
ID 43730951
LAST UPDATED 2024-02-28 22:58:31 UTC
LAST UPDATED 2024-02-28 22:58:31 UTC
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