Wisconsin
Department of Safety and Professional Services
First, Virginia A
Physical Therapist
License number
12122-24
Date granted
07/16/2012
Date expires
02/28/2015
Class
Physical Therapist
Status
Active
wisconsinlicensing.org
ID 13792446
LAST UPDATED 2026-04-29 18:37:31 UTC
LAST UPDATED 2026-04-29 18:37:31 UTC
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