Indiana
Professional Licensing Agency
KELLY ANN GOUGH
Physical Therapy Committee - Physical Therapist Assistant
License number
06001909A
Date granted
02/14/1997
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
WHITELAND IN 46184
indianalicensing.org
ID 8367483
LAST UPDATED 2026-04-20 14:02:06 UTC
LAST UPDATED 2026-04-20 14:02:06 UTC
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