Indiana
Professional Licensing Agency
Autumn Ann Gillen
Physical Therapy Committee - Physical Therapist Assistant
License number
06004086A
Date granted
07/09/2010
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Angola IN 46703
indianalicensing.org
ID 8363599
LAST UPDATED 2026-05-25 20:36:26 UTC
LAST UPDATED 2026-05-25 20:36:26 UTC
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