TODD R BRUBAKER - Physical Therapist License in New York | # 160004327

TODD R BRUBAKER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004327

License Status

NOT RENEWED

Business

N

First Name

TODD

Middle

R

Last Name

BRUBAKER

Business Name

TODD R BRUBAKER

Original Issue Date

08/26/2004

Effective Date

09/16/2015

Expiration Date

09/30/2017

State

NY

Ever Disciplined

N

LastModifiedDate

11/01/2017