The holder whose full name is Miles, LaTisha M.,come from Gary IN,hold the Phys Ther Assistant license(NO.06003947A) which status is Active.
| Name | Miles, LaTisha M. |
|---|---|
| License Number | 06003947A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Gary |
| State | IN |