License holder summary

Mardone Rivera Tan is a Physical Therapy - Physical Therapist licensed to practice in Colorado. The address on file for Mardone Rivera Tan is 48 Herringbone Way, Ormond Beach, FL, 32174-2174. This licensed professional license is not current. The license was granted 08/25/2005 and expired on 10/31/2012.

Colorado

Division of Professions and Occupations

Mardone Rivera Tan
Physical Therapy - Physical Therapist
License number
8994
Date granted
08/25/2005
Date expires
10/31/2012
Class
Physical Therapy - Physical Therapist
Status
Expired
Address
48 Herringbone Way, Ormond Beach, FL, 32174-2174
coloradolicensing.org
ID 28240986
LAST UPDATED 2024-03-30 12:41:34 UTC

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