SELINA T MANTANONA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018813

License Status

INACTIVE

Business

First Name

SELINA

Middle

Last Name

MANTANONA

Business Name

SELINA T MANTANONA

Original Issue Date

10/12/2011

Effective Date

10/01/2014

Expiration Date

09/30/2016

City

NAVARRE

State

Zip

32566

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/06/2016