Delaware
Division of Professional Regulation
Mallory C. Black
Physical Therapy/Athletic Trg - Physical Therapist Assistant
License number
J2-0000900
Date granted
05/30/2013
Date expires
01/31/2015
Class
Physical Therapy/Athletic Trg - Physical Therapist Assistant
Status
Active
Address
Bethany Beach DE 19930
delawarelicensing.com
ID 20732774
LAST UPDATED 2024-03-30 16:14:53 UTC
LAST UPDATED 2024-03-30 16:14:53 UTC
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