PHILLIP TANTIMONICO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009035

License Status

NOT RENEWED

Business

First Name

PHILLIP

Last Name

TANTIMONICO

Business Name

PHILLIP TANTIMONICO

Original Issue Date

08/28/2020

Effective Date

08/28/2020

Expiration Date

01/31/2022

City

COVENTRY

State

Zip

02816

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

05/19/2022