The holder whose full name is Decker, Darrel A.,come from Gosport IN,hold the Phys Ther Assistant license(NO.06004454A) which status is Active.
| Name | Decker, Darrel A. |
|---|---|
| License Number | 06004454A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Gosport |
| State | IN |