The holder whose full name is Stout, Theresa Doreen,come from Indianapolis IN,hold the Occ Therapy Assistant license(NO.32000054A) which status is Active.
| Name | Stout, Theresa Doreen |
|---|---|
| License Number | 32000054A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Indianapolis |
| State | IN |