The holder whose full name is GICK, KELLEY MARIE,come from FORT WAYNE IN,hold the Phys Ther Assistant license(NO.06002002A) which status is Active.
| Name | GICK, KELLEY MARIE |
|---|---|
| License Number | 06002002A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | FORT WAYNE |
| State | IN |