LEAH C PASSALACQUA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009844

License Status

ACTIVE

Business

First Name

LEAH C

Last Name

PASSALACQUA

Business Name

LEAH C PASSALACQUA

Original Issue Date

12/06/1996

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

TEUTOPOLIS

State

Zip

62467

Ever Disciplined

LastModifiedDate

09/03/2024