Pennsylvania
Department of State
TERRA N RUSSELL
Physical Therapist Assistant
License number
TE006545
Date granted
10/16/2001
Date expires
12/31/2010
Class
Physical Therapist Assistant
Status
Voided
Address
New Salem PA 15468
palicensing.org
ID 17311665
LAST UPDATED 2026-06-26 05:40:20 UTC
LAST UPDATED 2026-06-26 05:40:20 UTC
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