The holder whose full name is Smith, Angela Marie,come from South Bend IN,hold the Phys Ther Assistant license(NO.06001809A) which status is Active.
| Name | Smith, Angela Marie |
|---|---|
| License Number | 06001809A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | South Bend |
| State | IN |