Indiana
Professional Licensing Agency
Amy Nicole Blough
Physical Therapy Committee - Physical Therapist Assistant
License number
06003313A
Date granted
08/01/2005
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fort Wayne IN 46808
indianalicensing.org
ID 8362749
LAST UPDATED 2024-02-16 02:23:06 UTC
LAST UPDATED 2024-02-16 02:23:06 UTC
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