The holder whose full name is Pennington, Colette Alena,come from Portage IN,hold the Phys Ther Assistant license(NO.06004876A) which status is Active.
| Name | Pennington, Colette Alena |
|---|---|
| License Number | 06004876A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Portage |
| State | IN |