License holder summary

MARIETTA C TAMBAOAN NATIVIDAD is a Physical Therapist licensed to practice in Indiana. The address on file for MARIETTA C TAMBAOAN NATIVIDAD is Crown Point IN 46307. This licensed professional license is current. The license was granted 08/22/1994 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

MARIETTA C TAMBAOAN NATIVIDAD
Physical Therapist
License number
05004159A
Date granted
08/22/1994
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Crown Point IN 46307
indianalicensing.org
ID 8369931
LAST UPDATED 2024-05-06 13:03:55 UTC

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