Blake Johnson
ExpiredCalifornia license 304474
License
- Licensed by
- Physical Therapy Board of California
- License number
- 304474
- Status
- Expired (Delinquent)
- First issued
- August 3, 2023
- Expired
- September 30, 2026
- License holder
- Blake Johnson
- Entity type
- Individual
Classifications
- Physical Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7201
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Contact
Prescott, AZ 86305-5024
Yavapai County