California
Department of Consumer Affairs
PROVENGHI STEPHANIE LYNN
Physical Therapists and Physical Therapist Assistants
License number
11135
Date granted
10/22/2015
Date expires
05/31/2017
Class
Physical Therapists and Physical Therapist Assistants
Status
Valid
californialicensing.org
ID 12177469
LAST UPDATED 2026-06-20 23:38:28 UTC
LAST UPDATED 2026-06-20 23:38:28 UTC
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