License holder summary

PROVENZANO , MATTHEW VINCENT is a Department Of Health - Physical Therapist licensed to practice in Tennessee. This medical licensee license is current. The license was granted 03/26/2012 and expired on 11/30/2016.

Department of Health

Board of Medical Examiners

PROVENZANO , MATTHEW VINCENT
Department Of Health - Physical Therapist
License number
9333
Date granted
03/26/2012
Date expires
11/30/2016
Class
Department Of Health - Physical Therapist
Status
Licensed
Address
medicaltn.com
ID 42324290
LAST UPDATED 2024-02-29 11:14:29 UTC

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