Indiana
Professional Licensing Agency
Brandy L Ennulat-Shipp
Physical Therapy Committee - Physical Therapist Assistant
License number
06001798A
Date granted
08/23/1996
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Madison IN 47250
indianalicensing.org
ID 8364629
LAST UPDATED 2024-03-25 10:08:25 UTC
LAST UPDATED 2024-03-25 10:08:25 UTC
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