The holder whose full name is Ellis, Kathleen Annette,come from Greenwood IN,hold the Phys Ther Assistant license(NO.06002780A) which status is Active.
| Name | Ellis, Kathleen Annette |
|---|---|
| License Number | 06002780A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Greenwood |
| State | IN |