Indiana
Professional Licensing Agency
Tracey Blackmore
Physical Therapist
License number
05007577A
Date granted
02/26/2002
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Carmel IN 46033
indianalicensing.org
ID 8369324
LAST UPDATED 2024-02-13 01:44:15 UTC
LAST UPDATED 2024-02-13 01:44:15 UTC
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