Indiana
Professional Licensing Agency
Ryan Wayne Diederich
Physical Therapy Committee - Physical Therapist Assistant
License number
06004770A
Date granted
10/18/2013
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fort Wayne IN 46818
indianalicensing.org
ID 12358105
LAST UPDATED 2024-04-27 13:09:49 UTC
LAST UPDATED 2024-04-27 13:09:49 UTC
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