The holder whose full name is Gothard, Andrew Thomas,come from Mishawaka IN,hold the Occ Therapy Assistant license(NO.32002068A) which status is Active.
| Name | Gothard, Andrew Thomas |
|---|---|
| License Number | 32002068A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Mishawaka |
| State | IN |