Indiana
Professional Licensing Agency
Manicar Domantay Fernandez
Physical Therapist
License number
05006025A
Date granted
05/15/1998
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Granger IN 46530
indianalicensing.org
ID 8372206
LAST UPDATED 2026-05-23 23:43:27 UTC
LAST UPDATED 2026-05-23 23:43:27 UTC
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