The holder whose full name is Reaves, Angela Sue,come from La Porte IN,hold the Phys Ther Assistant license(NO.06002633A) which status is Active.
| Name | Reaves, Angela Sue |
|---|---|
| License Number | 06002633A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | La Porte |
| State | IN |