The holder whose full name is Black, Amber Jyl,come from Indianapolis IN,hold the Phys Ther Assistant license(NO.06004308A) which status is Active.
| Name | Black, Amber Jyl |
|---|---|
| License Number | 06004308A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Indianapolis |
| State | IN |