Pennsylvania
Department of State
JAMIE LEE WAGNER
Physical Therapist Assistant
License number
TE008097
Date granted
07/02/2008
Date expires
12/31/2016
Class
Physical Therapist Assistant
Status
Active
Address
Coopersburg PA 18036
palicensing.org
ID 17321728
LAST UPDATED 2024-04-30 17:12:52 UTC
LAST UPDATED 2024-04-30 17:12:52 UTC
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