Physical Therapist Assistant Application Instructions ...

New Jersey Office of the Attorney GeneralDivision of Consumer AffairsState Board of Physical Therapy Examiners124 Halsey Street, 6th Floor, Box 45014 Newark, New Jersey 07101(973) 504-6455 Physical Therapist AssistantApplication Instructions / ChecklistUse this checklist to determine whether you have complied with all of the requirements for licensure in New Jersey as a Physi-cal Therapist Assistant . Once your Application has been received, a file will be established and you will be notified regarding any missing approval of your Application , you will be notified by letter and requested to provide your initial license note that as of February 17, 2003, the State Board of Physical Therapy Examiners is no longer issuing temporary licenses. Application Fee: Please enclose a nonrefundable check or money order in the amount of $ to the State Board of Physical Therapy Examiners and mail it with your Application to: State Board of Physical Therapy Examiners, Box 45014, Newark, 07101.

Please use additional paper if you cannot fit all of your information in the space provided on this form. Make a notation by each question that more information has been attached.

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  Applications, Instructions, Physical, Therapist, Assistant, Physical therapist assistant application instructions

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