The holder whose full name is Vanderbilt, Justin Michael,come from Terre Haute IN,hold the Phys Ther Assistant license(NO.06004941A) which status is Active.
| Name | Vanderbilt, Justin Michael |
|---|---|
| License Number | 06004941A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Terre Haute |
| State | IN |