Indiana
Professional Licensing Agency
Emmanuel Requena
Physical Therapy Committee - Physical Therapist Assistant
License number
06004053A
Date granted
04/06/2010
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fort Wayne IN 46804
indianalicensing.org
ID 8362799
LAST UPDATED 2024-03-03 23:35:20 UTC
LAST UPDATED 2024-03-03 23:35:20 UTC
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