Idaho
Division of Occupational and Professional Licenses
TONY LANE GRANT
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3660
Date granted
07/15/2014
Date expires
07/12/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
BOISE ID 83703
idaholicensing.com
ID 43734093
LAST UPDATED 2026-03-28 11:10:52 UTC
LAST UPDATED 2026-03-28 11:10:52 UTC
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