LISA M AMENDOLA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000121

License Status

ACTIVE

Business

First Name

LISA M

Last Name

AMENDOLA

Business Name

LISA M AMENDOLA

Original Issue Date

07/01/1991

Effective Date

08/10/2025

Expiration Date

09/30/2027

City

TUSCOLA

State

Zip

79562

Ever Disciplined

LastModifiedDate

08/10/2025