The holder whose full name is Bowen, Jacob Michael,come from Avilla IN,hold the Phys Ther Assistant license(NO.06004452A) which status is Active.
| Name | Bowen, Jacob Michael |
|---|---|
| License Number | 06004452A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Avilla |
| State | IN |