License holder summary

REGINA LEIGH FORMICA is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for REGINA LEIGH FORMICA is HARLEYSVILLE PA 19438. This licensed professional license is current. The license was granted 01/13/2010 and expired on 12/31/2016.

Pennsylvania

Department of State

REGINA LEIGH FORMICA
Direct Access Authorization - Physical Therapy
License number
DAPT002082
Date granted
01/13/2010
Date expires
12/31/2016
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
HARLEYSVILLE PA 19438
palicensing.org
ID 17274382
LAST UPDATED 2026-04-25 20:56:30 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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