The holder whose full name is Fasan, Bosede Ruth,come from Greenwood IN,hold the Phys Ther Assistant license(NO.06004399A) which status is Active.
| Name | Fasan, Bosede Ruth |
|---|---|
| License Number | 06004399A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Greenwood |
| State | IN |