License holder summary

C THOMAS PROVENZANO is a Health Care - Physical Therapist License licensed to practice in Washington. This medical licensee license is not current. The license was granted 07/18/2003 and expired on 05/04/2008.

Washington

Medical Commission

C THOMAS PROVENZANO
Health Care - Physical Therapist License
License number
PT00009197
Date granted
07/18/2003
Date expires
05/04/2008
Class
Health Care - Physical Therapist License
Status
Expired
wamedicine.com
ID 40050620
LAST UPDATED 2024-03-14 10:45:25 UTC

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