TIMOTHY MICHAEL ATHA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010171

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

MICHAEL

Last Name

ATHA

Business Name

TIMOTHY MICHAEL ATHA

Original Issue Date

08/01/2024

Effective Date

10/10/2025

Expiration Date

09/30/2027

City

OWEGO

State

Zip

13827

Ever Disciplined

LastModifiedDate

10/10/2025