Ohio
Board of Licensing
Stacy Ann Provost
Occ Therapy, Phys Therapy, & Athletic Trainers Board - Pt.Physical Therapist
License number
PT.001637
Date granted
02/13/1975
Date expires
01/31/2016
Class
Occ Therapy, Phys Therapy, & Athletic Trainers Board - Pt.Physical Therapist
Status
Active
Address
Fairview Park, OH
ohiolicensing.org
ID 28653731
LAST UPDATED 2024-03-28 07:57:23 UTC
LAST UPDATED 2024-03-28 07:57:23 UTC