The holder whose full name is Maddox, Douglas R.,come from La Porte IN,hold the Phys Ther Assistant license(NO.06003446A) which status is Active.
| Name | Maddox, Douglas R. |
|---|---|
| License Number | 06003446A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | La Porte |
| State | IN |