The holder whose full name is Ennulat-Shipp, Brandy L,come from Madison IN,hold the Phys Ther Assistant license(NO.06001798A) which status is Active.
| Name | Ennulat-Shipp, Brandy L |
|---|---|
| License Number | 06001798A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Madison |
| State | IN |