License holder summary

STACEY ANN DIETRICH is a Physical Therapist Assistant licensed to practice in Pennsylvania. The address on file for STACEY ANN DIETRICH is WEST LAWN PA 19609. This licensed professional license is not current. The license was granted 12/03/1998 and expired on 12/31/2006.

Pennsylvania

Department of State

STACEY ANN DIETRICH
Physical Therapist Assistant
License number
TE005044L
Date granted
12/03/1998
Date expires
12/31/2006
Class
Physical Therapist Assistant
Status
Inactive
Address
WEST LAWN PA 19609
palicensing.org
ID 17303272
LAST UPDATED 2024-03-21 14:11:53 UTC

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