KIMBERLY PELAGIO BAISA DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027352

License Status

ACTIVE

Business

Title

DPT

First Name

KIMBERLY

Middle

PELAGIO

Last Name

BAISA

Business Name

KIMBERLY PELAGIO BAISA DPT

Original Issue Date

04/21/2023

Effective Date

08/08/2024

Expiration Date

09/30/2026

City

FARMINGTON

State

Zip

06032

Ever Disciplined

LastModifiedDate

08/08/2024