Idaho
Division of Occupational and Professional Licenses
TANIELLE SUMMERILL
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3365
Date granted
09/17/2013
Date expires
08/11/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43734707
LAST UPDATED 2024-02-06 04:32:36 UTC
LAST UPDATED 2024-02-06 04:32:36 UTC
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