The holder whose full name is Henderson, Justin Richard,come from Valparaiso IN,hold the Phys Ther Assistant license(NO.06003509A) which status is Active.
| Name | Henderson, Justin Richard |
|---|---|
| License Number | 06003509A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Valparaiso |
| State | IN |