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 2024-05-14 20:31:15 UTC
LAST UPDATED 2024-05-14 20:31:15 UTC
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