License holder summary

Tara L Mizenko is a Physical Therapy/Athletic Trg - Physical Therapist Assistant licensed to practice in Delaware. The address on file for Tara L Mizenko is West Hazleton PA 18202. This licensed professional license is not current. The license was granted 12/17/2002 and expired on 01/31/2005.

Delaware

Division of Professional Regulation

Tara L Mizenko
Physical Therapy/Athletic Trg - Physical Therapist Assistant
License number
J2-0000552
Date granted
12/17/2002
Date expires
01/31/2005
Class
Physical Therapy/Athletic Trg - Physical Therapist Assistant
Status
Lapsed
Address
West Hazleton PA 18202
delawarelicensing.com
ID 20733383
LAST UPDATED 2024-04-05 00:46:23 UTC

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