Pennsylvania
Department of State
BENJAMIN RICHARD KIVLAN
Direct Access Authorization - Physical Therapy
License number
DAPT002566
Date granted
04/09/2012
Date expires
12/31/2014
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
Valencia PA 16059
palicensing.org
ID 17275740
LAST UPDATED 2026-03-20 07:50:25 UTC
LAST UPDATED 2026-03-20 07:50:25 UTC
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