Idaho
Division of Occupational and Professional Licenses
TARA ANNE JOHNSON
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2995
Date granted
09/06/2012
Date expires
10/12/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83712
idaholicensing.com
ID 43731802
LAST UPDATED 2024-02-18 03:29:29 UTC
LAST UPDATED 2024-02-18 03:29:29 UTC
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