SHANE A CHAMPION
Physical Therapy at 12 St, Lewiston, ID

License number
Florida 25053
Issued Date
Jul 17, 2014
Effective Date
Jul 17, 2014
Expiration Date
Nov 30, 2017
Category
Health Care
Type
Physical Therapist Assistant
Address
Address
3529 12Th St, Lewiston, ID 83501
Phone
(208) 798-9064
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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