The holder whose full name is Payne, Bethany D,come from Fairmount IN,hold the Occ Therapy Assistant license(NO.32001385A) which status is Active.
| Name | Payne, Bethany D |
|---|---|
| License Number | 32001385A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Fairmount |
| State | IN |