Pennsylvania
Department of State
MINDY DALE LONGENBACH
Physical Therapist Assistant
License number
TE000093L
Date granted
09/11/1992
Date expires
12/31/2010
Class
Physical Therapist Assistant
Status
Voided
Address
Macungie PA 18062
palicensing.org
ID 17324417
LAST UPDATED 2024-04-30 21:48:18 UTC
LAST UPDATED 2024-04-30 21:48:18 UTC
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