Pennsylvania
Department of State
STACEY L HERTZOG
Physical Therapist Assistant
License number
TE008029
Date granted
01/18/2008
Date expires
12/31/2014
Class
Physical Therapist Assistant
Status
Active
Address
Mililani HI 96789
palicensing.org
ID 17321596
LAST UPDATED 2024-04-01 14:10:26 UTC
LAST UPDATED 2024-04-01 14:10:26 UTC
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