The holder whose full name is Smith, Amanda Nichole,come from Fort Wayne IN,hold the Occupational Therapist license(NO.31005393A) which status is Active.
| Name | Smith, Amanda Nichole |
|---|---|
| License Number | 31005393A |
| License Type | Occupational Therapist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |