Wisconsin
Department of Safety and Professional Services
Fairbanks, Nichole M
Physical Therapist
License number
12904-24
Date granted
09/22/2014
Date expires
02/28/2017
Class
Physical Therapist
Status
Active
wisconsinlicensing.org
ID 36513739
LAST UPDATED 2024-04-03 10:06:35 UTC
LAST UPDATED 2024-04-03 10:06:35 UTC
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