ALEXA MARIE GAULT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027883

License Status

ACTIVE

Business

First Name

ALEXA

Middle

MARIE

Last Name

GAULT

Business Name

ALEXA MARIE GAULT

Original Issue Date

10/13/2023

Effective Date

09/08/2024

Expiration Date

09/30/2026

City

OWEGO

State

Zip

13827

Ever Disciplined

LastModifiedDate

10/13/2024