The holder whose full name is Lewellen, Michael A.,come from Anderson IN,hold the Phys Ther Assistant license(NO.06003449A) which status is Active.
| Name | Lewellen, Michael A. |
|---|---|
| License Number | 06003449A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Anderson |
| State | IN |