AMY C BAZZANELLA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018638

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

BAZZANELLA

Business Name

AMY C BAZZANELLA

Original Issue Date

07/19/2011

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

TREVOR

State

Zip

53179

Ever Disciplined

LastModifiedDate

09/16/2024