License holder summary

DARRYL TAN BALLESTEROS is a Physical Therapist licensed to practice in Indiana. The address on file for DARRYL TAN BALLESTEROS is Avon IN 46123. This licensed professional license is current. The license was granted 06/27/1997 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

DARRYL TAN BALLESTEROS
Physical Therapist
License number
05005535A
Date granted
06/27/1997
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Avon IN 46123
indianalicensing.org
ID 8367988
LAST UPDATED 2024-02-16 21:38:35 UTC

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