Indiana
Professional Licensing Agency
Blake M. Wiseman
Physical Therapist
License number
05009661A
Date granted
08/20/2008
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Carmel IN 46074
indianalicensing.org
ID 8369056
LAST UPDATED 2024-02-28 17:39:31 UTC
LAST UPDATED 2024-02-28 17:39:31 UTC
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