The holder whose full name is FREDERICK, MELYNDA,come from MONTGOMERY IN,hold the Phys Ther Assistant license(NO.06002032A) which status is Active.
| Name | FREDERICK, MELYNDA |
|---|---|
| License Number | 06002032A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | MONTGOMERY |
| State | IN |