The holder whose full name is Lavery, Ellen Mary,come from Valparaiso IN,hold the Phys Ther Assistant license(NO.06004870A) which status is Active.
| Name | Lavery, Ellen Mary |
|---|---|
| License Number | 06004870A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Valparaiso |
| State | IN |