MAURA BLACKSTONE DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027460

License Status

ACTIVE

Business

Title

DPT

First Name

MAURA

Last Name

BLACKSTONE

Business Name

MAURA BLACKSTONE DPT

Original Issue Date

05/20/2023

Effective Date

08/13/2024

Expiration Date

09/30/2026

City

ASHBURN

State

Zip

20147

Ever Disciplined

LastModifiedDate

08/13/2024