Pennsylvania
Department of State
KIMBERLY ANN WALLACE
Direct Access Authorization - Physical Therapy
License number
DAPT000564
Date granted
12/16/2004
Date expires
12/31/2012
Class
Direct Access Authorization - Physical Therapy
Status
Expired
Address
OAKS PA 19456
palicensing.org
ID 17274804
LAST UPDATED 2024-05-15 22:00:12 UTC
LAST UPDATED 2024-05-15 22:00:12 UTC
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