Indiana
Professional Licensing Agency
Kristin Keely Smith
Physical Therapist
License number
05011330A
Date granted
12/11/2013
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Mishawaka IN 46544
indianalicensing.org
ID 29178332
LAST UPDATED 2024-03-15 17:40:26 UTC
LAST UPDATED 2024-03-15 17:40:26 UTC
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