JAMES BRYAN FOUNTAIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008370

License Status

ACTIVE

Business

First Name

JAMES

Middle

BRYAN

Last Name

FOUNTAIN

Business Name

JAMES BRYAN FOUNTAIN

Original Issue Date

09/13/2018

Effective Date

07/02/2025

Expiration Date

09/30/2027

City

CREST HILL

State

Zip

60403

Ever Disciplined

LastModifiedDate

07/02/2025