AMANDA J BERRY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011874

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

BERRY

Business Name

AMANDA J BERRY

Original Issue Date

04/11/2000

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

OSWEGO

State

Zip

60543

Ever Disciplined

LastModifiedDate

09/20/2024