License holder summary

Shane M. Wallen is a Physical Therapy Committee - Physical Therapist Assistant licensed to practice in Indiana. The address on file for Shane M. Wallen is Warsaw IN 46580. This licensed professional license is current. The license was granted 07/25/2012 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Shane M. Wallen
Physical Therapy Committee - Physical Therapist Assistant
License number
06004508A
Date granted
07/25/2012
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Warsaw IN 46580
indianalicensing.org
ID 8367315
LAST UPDATED 2024-03-15 15:50:34 UTC

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