DIANE TERPSTRA LARSEN Physical Therapist License verification

DIANE TERPSTRA LARSEN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003038

License Status

INACTIVE

Business

First Name

DIANE TERPSTRA

Last Name

LARSEN

Business Name

DIANE TERPSTRA LARSEN

Original Issue Date

12/24/1979

Effective Date

09/12/2014

Expiration Date

09/30/2016

City

FISHERS

State

Zip

46037

County

INDIANA

Ever Disciplined

LastModifiedDate

06/16/2017

Case Number

2015001714

Action

Reprimand

Discipline Start Date

06/06/2017

Discipline Reason

as a result of a sister-state disciplinary action imposed by the Indiana Physical Therapy Committee related to improper record keeping practice related to Ms. Larsen's documentation of physical therapy care and treatment provided to a patient.