Idaho
Division of Occupational and Professional Licenses
SUSAN PIERRETTE BASTIAN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 127
Date granted
01/09/1976
Date expires
03/06/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83704
idaholicensing.com
ID 43730420
LAST UPDATED 2024-03-09 03:21:08 UTC
LAST UPDATED 2024-03-09 03:21:08 UTC
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