Indiana
Professional Licensing Agency
Nicole Autumn Henline
Physical Therapy Committee - Physical Therapist Assistant
License number
06002875A
Date granted
08/21/2001
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fort Wayne IN 46804
indianalicensing.org
ID 8362867
LAST UPDATED 2024-04-02 22:28:10 UTC
LAST UPDATED 2024-04-02 22:28:10 UTC
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