Wisconsin
Department of Safety and Professional Services
Blackman, Shana G
Physical Therapist
License number
11775-24
Date granted
06/22/2011
Date expires
02/28/2015
Class
Physical Therapist
Status
Active
wisconsinlicensing.org
ID 13749722
LAST UPDATED 2024-05-02 09:13:39 UTC
LAST UPDATED 2024-05-02 09:13:39 UTC
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