Colorado
Division of Professions and Occupations
Jennifer Ruth Provost
Physical Therapy - Physical Therapist
License number
8208
Date granted
01/21/2003
Date expires
10/31/2004
Class
Physical Therapy - Physical Therapist
Status
Expired
Address
1118 CITY PARK AVE #328, FORT COLLINS, CO, 80521-0521
coloradolicensing.org
ID 28239778
LAST UPDATED 2024-03-21 17:34:02 UTC
LAST UPDATED 2024-03-21 17:34:02 UTC
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