The holder whose full name is Green, Eric Alan,come from Valparaiso IN,hold the Phys Ther Assistant license(NO.06004911A) which status is Active.
| Name | Green, Eric Alan |
|---|---|
| License Number | 06004911A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Valparaiso |
| State | IN |