Indiana
Professional Licensing Agency
Ma Deanna M. Bautista
Physical Therapist
License number
05003814A
Date granted
03/04/1994
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Fishers IN 46037
indianalicensing.org
ID 8371095
LAST UPDATED 2024-05-12 14:35:28 UTC
LAST UPDATED 2024-05-12 14:35:28 UTC
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