The holder whose full name is House, Constance J,come from Boonville IN,hold the Phys Ther Assistant license(NO.06001319A) which status is Active.
| Name | House, Constance J |
|---|---|
| License Number | 06001319A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Boonville |
| State | IN |