SONIA Y MANTILLA - Physical Therapist License in Indiana | # 070009028

SONIA Y MANTILLA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009028

License Status

INACTIVE

Business

N

First Name

SONIA Y

Last Name

MANTILLA

Business Name

SONIA Y MANTILLA

Original Issue Date

09/07/1995

Effective Date

09/07/1995

Expiration Date

09/30/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005