The holder whose full name is Fowlkes, Tia Renee,come from Auburn IN,hold the Occ Therapy Assistant license(NO.32001356A) which status is Active.
| Name | Fowlkes, Tia Renee |
|---|---|
| License Number | 32001356A |
| License Type | Occ Therapy Assistant |
| License Status | Active |
| City | Auburn |
| State | IN |