The holder whose full name is Portwood, Heather,come from Cicero IN,hold the Occ Therapy Assistant license(NO.32000780A) which status is Active.
| Name | Portwood, Heather |
|---|---|
| License Number | 32000780A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Cicero |
| State | IN |