License holder summary

Disa Gay Banaga Camacaylan is a Physical Therapist licensed to practice in Indiana. The address on file for Disa Gay Banaga Camacaylan is Fort Wayne IN 46825. This licensed professional license is current. The license was granted 06/16/2005 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Disa Gay Banaga Camacaylan
Physical Therapist
License number
05008661A
Date granted
06/16/2005
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Fort Wayne IN 46825
indianalicensing.org
ID 8371457
LAST UPDATED 2024-05-12 03:51:20 UTC

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