Idaho
Division of Occupational and Professional Licenses
SUSAN KATHLEEN BIRNBAUM
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1533
Date granted
06/06/2000
Date expires
01/18/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83703
idaholicensing.com
ID 43730519
LAST UPDATED 2024-03-17 07:10:20 UTC
LAST UPDATED 2024-03-17 07:10:20 UTC
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