Pennsylvania
Department of State
KEITH JASON KMIECZAK
Direct Access Authorization - Physical Therapy
License number
DAPT003043
Date granted
08/05/2014
Date expires
12/31/2014
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
Leola PA 17540
palicensing.org
ID 19178455
LAST UPDATED 2024-05-29 22:36:48 UTC
LAST UPDATED 2024-05-29 22:36:48 UTC
This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.