Pennsylvania
Department of State
STUART SPENCER BASOM
Direct Access Authorization - Physical Therapy
License number
DAPT000345
Date granted
10/28/2004
Date expires
12/31/2016
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
ENOLA PA 17025
palicensing.org
ID 17277266
LAST UPDATED 2024-03-29 01:04:01 UTC
LAST UPDATED 2024-03-29 01:04:01 UTC
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