License holder summary

JODY REBECCA BLACK is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for JODY REBECCA BLACK is Altoona PA 16602. This licensed professional license is not current. The license was granted 02/04/2005 and expired on 12/31/2010.

Pennsylvania

Department of State

JODY REBECCA BLACK
Direct Access Authorization - Physical Therapy
License number
DAPT000595
Date granted
02/04/2005
Date expires
12/31/2010
Class
Direct Access Authorization - Physical Therapy
Status
Expired
Address
Altoona PA 16602
palicensing.org
ID 17275788
LAST UPDATED 2024-03-11 21:04:10 UTC

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