Idaho
Division of Occupational and Professional Licenses
TARA JANE GOODWIN
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 192
Date granted
09/17/2004
Date expires
03/10/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
COEUR D ALENE ID 83814
idaholicensing.com
ID 43729607
LAST UPDATED 2024-03-09 17:56:14 UTC
LAST UPDATED 2024-03-09 17:56:14 UTC
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