Indiana
Professional Licensing Agency
PHYLLIS IRENE KUKLA
Occupational Therapy Assistant
License number
32000680A
Date granted
12/15/1997
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
La Porte IN 46350
indianalicensing.org
ID 8276402
LAST UPDATED 2026-05-01 09:07:53 UTC
LAST UPDATED 2026-05-01 09:07:53 UTC
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