(1) The board may issue a provisional license to practice as a physical therapist to a person who:
(a) Submits an application and pays a fee as determined by the director; and
(b) Successfully completes a physical therapy program that meets the educational requirements in section 12-41-107 (1)(a).
(2) A person who holds a provisional license may only practice under the supervision of a physical therapist actively licensed in this state.
(3) A provisional license issued pursuant to this section expires no later than one hundred twenty days after the date it was issued. A provisional license may only be issued one time and is not subject to section 12-41-112.