The holder whose full name is Maibach, Mitchell,come from Fort Wayne IN,hold the Phys Ther Assistant license(NO.06004521A) which status is Active.
| Name | Maibach, Mitchell |
|---|---|
| License Number | 06004521A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Fort Wayne |
| State | IN |