The holder whose full name is Solivais, Courtney Anne,come from Portage IN,hold the Phys Ther Assistant license(NO.06004711A) which status is Active.
| Name | Solivais, Courtney Anne |
|---|---|
| License Number | 06004711A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Portage |
| State | IN |