ANDREA L DIDENKO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004260

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

DIDENKO

Business Name

ANDREA L DIDENKO

Original Issue Date

01/28/2004

Effective Date

09/07/2025

Expiration Date

09/30/2027

City

PINGREE GROVE

State

Zip

60140

Ever Disciplined

LastModifiedDate

09/07/2025