Wisconsin
Department of Safety and Professional Services
Blaylock, Terry
Physical Therapist Assistant
License number
1068-19
Date granted
05/06/2004
Date expires
02/28/2015
Class
Physical Therapist Assistant
Status
Active
wisconsinlicensing.org
ID 12757335
LAST UPDATED 2026-05-01 06:51:07 UTC
LAST UPDATED 2026-05-01 06:51:07 UTC
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