License holder summary

AMANDA MARIE BLACK is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for AMANDA MARIE BLACK is Carbondale PA 18407. This licensed professional license is current. The license was granted 09/21/2009 and expired on 12/31/2014.

Pennsylvania

Department of State

AMANDA MARIE BLACK
Direct Access Authorization - Physical Therapy
License number
DAPT002008
Date granted
09/21/2009
Date expires
12/31/2014
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
Carbondale PA 18407
palicensing.org
ID 17276225
LAST UPDATED 2024-05-11 19:57:28 UTC

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