GARY EDMUND MATTINGLY
Direct Access Authorization - Physical Therapy
Pennsylvania DAPT001018 Expired
This Pennsylvania license was held by GARY EDMUND MATTINGLY. The license is no longer active. It was granted on 09/14/2005 and expired on 12/31/2010
LICENSE DETAILS
- License Number: DAPT001018
- Category: Direct Access Authorization - PT
- Status: Expired
- Date Granted: 09/14/2005 (over 19 years ago)
- Expiry Date: 12/31/2010 (over 14 years ago)
LOCATIONS
A Address
SCRANTON PA 18510