Indiana
Professional Licensing Agency
Visa Tan Goyena
Physical Therapist
License number
05009079A
Date granted
08/22/2006
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Crown Point IN 46307
indianalicensing.org
ID 8370017
LAST UPDATED 2024-04-02 07:42:38 UTC
LAST UPDATED 2024-04-02 07:42:38 UTC
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