Indiana
Professional Licensing Agency
Kimberly Faenzi Jacobson
Physical Therapist
License number
05009296A
Date granted
06/28/2007
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
West Lafayette IN 47906
indianalicensing.org
ID 8379014
LAST UPDATED 2024-03-20 16:06:20 UTC
LAST UPDATED 2024-03-20 16:06:20 UTC
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