Indiana
Professional Licensing Agency
Kristina M. Kozak
Physical Therapy Committee - Physical Therapist Assistant
License number
06003776A
Date granted
09/23/2008
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Kouts IN 46347
indianalicensing.org
ID 8364169
LAST UPDATED 2026-04-19 02:12:21 UTC
LAST UPDATED 2026-04-19 02:12:21 UTC
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