The holder whose full name is WALTZ, LARRY,come from New Carlisle IN,hold the Phys Ther Assistant license(NO.06001942A) which status is Active.
| Name | WALTZ, LARRY |
|---|---|
| License Number | 06001942A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | New Carlisle |
| State | IN |