The holder whose full name is FATHAUER, DEANNA KAY,come from Sullivan IN,hold the Phys Ther Assistant license(NO.06002605A) which status is Active.
Name | FATHAUER, DEANNA KAY |
---|---|
License Number | 06002605A |
License Type | Phys Ther Assistant |
License Status | Active |
City | Sullivan |
State | IN |