The holder whose full name is Lewis, Latasha,come from Fairmount IN,hold the Occ Therapy Assistant license(NO.32002200A) which status is Active.
| Name | Lewis, Latasha |
|---|---|
| License Number | 32002200A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Fairmount |
| State | IN |