The holder whose full name is KUKLA, PHYLLIS IRENE,come from La Porte IN,hold the Occ Therapy Assistant license(NO.32000680A) which status is Active.
| Name | KUKLA, PHYLLIS IRENE |
|---|---|
| License Number | 32000680A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | La Porte |
| State | IN |