Indiana
Professional Licensing Agency
Jinky Pedro Bautista
Physical Therapist
License number
05008510A
Date granted
11/12/2004
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Troy MI 48083
indianalicensing.org
ID 8378330
LAST UPDATED 2026-05-13 13:13:35 UTC
LAST UPDATED 2026-05-13 13:13:35 UTC
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