License holder summary

JOHANNA VIVINA DA COSTA is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for JOHANNA VIVINA DA COSTA is Katy TX 77494. This licensed professional license is not current. The license was granted 08/22/2007 and expired on 12/31/2008.

Pennsylvania

Department of State

JOHANNA VIVINA DA COSTA
Direct Access Authorization - Physical Therapy
License number
DAPT001553
Date granted
08/22/2007
Date expires
12/31/2008
Class
Direct Access Authorization - Physical Therapy
Status
Inactive
Address
Katy TX 77494
palicensing.org
ID 17276352
LAST UPDATED 2024-03-02 19:39:39 UTC

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