DOMENICA BETH POTENA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025776

License Status

ACTIVE

Business

First Name

DOMENICA

Middle

BETH

Last Name

POTENA

Business Name

DOMENICA BETH POTENA

Original Issue Date

03/05/2021

Effective Date

08/30/2024

Expiration Date

09/30/2026

City

EGG HARBOR TOWNSHIP

State

Zip

08234

Ever Disciplined

LastModifiedDate

08/30/2024