The holder whose full name is Jacoby, Austin,come from New Whiteland IN,hold the Phys Ther Assistant license(NO.06004729A) which status is Active.
| Name | Jacoby, Austin |
|---|---|
| License Number | 06004729A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | New Whiteland |
| State | IN |