Delaware
Division of Professional Regulation
Glen W Birmingham
Physical Therapy/Athletic Trg - Physical Therapist
License number
J1-0001657
Date granted
06/18/2002
Date expires
01/31/2007
Class
Physical Therapy/Athletic Trg - Physical Therapist
Status
Lapsed
Address
Avondale PA 19311
delawarelicensing.com
ID 20729266
LAST UPDATED 2026-05-07 00:11:01 UTC
LAST UPDATED 2026-05-07 00:11:01 UTC
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