The holder whose full name is Smith, Amy Sue,come from Cicero IN,hold the Phys Ther Assistant license(NO.06002750A) which status is Active.
| Name | Smith, Amy Sue |
|---|---|
| License Number | 06002750A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Cicero |
| State | IN |