License holder summary

IDA OTIS is a Physical Therapist licensed to practice in Pennsylvania. The address on file for IDA OTIS is LEESPORT PA 19533. This licensed professional license is not current. The license was granted 01/02/1986 and expired on 12/31/2000.

Pennsylvania

Department of State

IDA OTIS
Physical Therapist
License number
PT001437E
Date granted
01/02/1986
Date expires
12/31/2000
Class
Physical Therapist
Status
Expired
Address
LEESPORT PA 19533
palicensing.org
ID 17290321
LAST UPDATED 2024-02-11 08:35:04 UTC

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