The holder whose full name is JOHNSON, ANNETTE MOORMAN,come from FORT WAYNE IN,hold the Phys Ther Assistant license(NO.06000216A) which status is Active.
| Name | JOHNSON, ANNETTE MOORMAN |
|---|---|
| License Number | 06000216A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | FORT WAYNE |
| State | IN |