License holder summary

LA COSTA SPORE is a Physical Therapy Committee - Physical Therapist Assistant licensed to practice in Indiana. The address on file for LA COSTA SPORE is Patoka IN 47666. This licensed professional license is current. The license was granted 07/24/2001 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

LA COSTA SPORE
Physical Therapy Committee - Physical Therapist Assistant
License number
06002850A
Date granted
07/24/2001
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Patoka IN 47666
indianalicensing.org
ID 8365789
LAST UPDATED 2024-03-14 18:56:41 UTC

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