Idaho
Division of Occupational and Professional Licenses
STACY KAE PHIPPEN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 216
Date granted
08/31/1999
Date expires
05/22/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
FRANKLIN ID 83237
idaholicensing.com
ID 43734538
LAST UPDATED 2024-05-17 10:44:37 UTC
LAST UPDATED 2024-05-17 10:44:37 UTC
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