The holder whose full name is PANBAMRUNG, ANTHONY KHUNTONG,come from Fort Wayne IN,hold the Phys Ther Assistant license(NO.06002861A) which status is Active.
Name | PANBAMRUNG, ANTHONY KHUNTONG |
---|---|
License Number | 06002861A |
License Type | Phys Ther Assistant |
License Status | Active |
City | Fort Wayne |
State | IN |