License holder summary

Rivera Phan, Lyra K is a Physical Therapist licensed to practice in Missouri. This licensed professional license is current. The license was granted 04/14/1992 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Rivera Phan, Lyra K
Physical Therapist
License number
100097  
Date granted
04/14/1992
Date expires
01/31/2014
Class
Physical Therapist
Status
Clear
licensingmissouri.org
ID 2211417
LAST UPDATED 2026-06-22 07:38:13 UTC

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