Indiana
Professional Licensing Agency
Mallory Ellen Fulton
Physical Therapy Committee - Physical Therapist Assistant
License number
06004965A
Date granted
09/19/2014
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Highland IN 46322
indianalicensing.org
ID 29176842
LAST UPDATED 2026-03-28 02:58:01 UTC
LAST UPDATED 2026-03-28 02:58:01 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.