Indiana
Professional Licensing Agency
Katie M. Wallace
Physical Therapist
License number
05010433A
Date granted
09/03/2010
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Marion IN 46953
indianalicensing.org
ID 8374923
LAST UPDATED 2024-05-11 13:35:55 UTC
LAST UPDATED 2024-05-11 13:35:55 UTC
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