License holder summary

STUART SPENCER BASOM is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for STUART SPENCER BASOM is ENOLA PA 17025. This licensed professional license is current. The license was granted 10/28/2004 and expired on 12/31/2016.

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

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