The holder whose full name is KING, COLEEN KAY,come from Lafayette IN,hold the Phys Ther Assistant license(NO.06001254A) which status is Active.
| Name | KING, COLEEN KAY |
|---|---|
| License Number | 06001254A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Lafayette |
| State | IN |