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Home » Boards » Licensing Area: Physical Therapy » Application Forms & Publications » Address/Name Change/Duplicate License Request

Address/Name Change/Duplicate License Request

Application Fillable Form

The link address is: /dcca/pvl/board-pdf/pvl-address-name-change-duplicate-license-request.pdf

Physical Therapy Spotlight

  • Home Physical Therapy
  • Physical Therapy Important Announcements
  • Application Forms & Publications
  • Application Deadline & Examination Dates
  • Continuing Competence Information
  • Statute/Rule Chapter
  • Board Meeting Schedule
  • Physical Therapy related websites
  • Board Meeting Minutes

PVL Spotlight

  • “MyPVL” and Renewal FAQ’s
  • PVL FAQ’s
  • How to Request for a License Verification
  • How to Request for an Address/Name Change & Print Duplicate License
  • Number of Current Licenses PVL Geo Reports (FY 2004 – FY 2019)
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