The holder whose full name is Russell, Amy Jo Ann,come from Valparaiso IN,hold the Phys Ther Assistant license(NO.06004300A) which status is Active.
| Name | Russell, Amy Jo Ann |
|---|---|
| License Number | 06004300A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Valparaiso |
| State | IN |