License holder summary

Jack Allen Wagstrom is a Occ Therapy, Phys Therapy, & Athletic Trainers Board - Pta.Physical Therapist Assistant licensed to practice in Ohio. The address on file for Jack Allen Wagstrom is Beavercreek, OH. This licensed professional license is current. The license was granted 04/01/1991 and expired on 01/31/2017.

Ohio

Board of Licensing

Jack Allen Wagstrom
Occ Therapy, Phys Therapy, & Athletic Trainers Board - Pta.Physical Therapist Assistant
License number
PTA.01596
Date granted
04/01/1991
Date expires
01/31/2017
Class
Occ Therapy, Phys Therapy, & Athletic Trainers Board - Pta.Physical Therapist Assistant
Status
Active
Address
Beavercreek, OH
ohiolicensing.org
ID 28663512
LAST UPDATED 2024-05-03 04:42:04 UTC

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