JODY REBECCA BLACK
Direct Access Authorization - Physical Therapy
Pennsylvania DAPT000595 Expired
This Pennsylvania license was held by JODY REBECCA BLACK. The license is no longer active. It was granted on 02/04/2005 and expired on 12/31/2010
LICENSE DETAILS
- License Number: DAPT000595
- Category: Direct Access Authorization - PT
- Status: Expired
- Date Granted: 02/04/2005 (about 19 years ago)
- Expiry Date: 12/31/2010 (over 13 years ago)
LOCATIONS
A Address
Altoona PA 16602