Indiana
Professional Licensing Agency
Shannon Brook Costella
Physical Therapist
License number
05007003A
Date granted
09/25/2000
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Valparaiso IN 46383
indianalicensing.org
ID 8378581
LAST UPDATED 2024-04-08 11:17:05 UTC
LAST UPDATED 2024-04-08 11:17:05 UTC
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