Indiana
Professional Licensing Agency
LISA SUE BASHFORD
Physical Therapy Committee - Physical Therapist Assistant
License number
06002346A
Date granted
01/12/1999
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fort Wayne IN 46804
indianalicensing.org
ID 8362845
LAST UPDATED 2026-06-12 16:17:33 UTC
LAST UPDATED 2026-06-12 16:17:33 UTC
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