California
Department of Consumer Affairs
BALZOMO BRYAN DEREQUITO
Physical Therapists and Physical Therapist Assistants
License number
8235
Date granted
07/26/2006
Date expires
04/30/2016
Class
Physical Therapists and Physical Therapist Assistants
Status
Valid
californialicensing.org
ID 12180715
LAST UPDATED 2026-04-12 09:16:59 UTC
LAST UPDATED 2026-04-12 09:16:59 UTC
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