STEPHANIE BERARD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009777

License Status

ACTIVE

Business

First Name

STEPHANIE

Last Name

BERARD

Business Name

STEPHANIE BERARD

Original Issue Date

02/10/2023

Effective Date

10/01/2025

Expiration Date

09/30/2027

City

IDAHO FALLS

State

Zip

83401

Ever Disciplined

LastModifiedDate

10/01/2025