The holder whose full name is Rupert, Mary Angela C,come from JASPER IN,hold the Phys Ther Assistant license(NO.06001865A) which status is Active.
| Name | Rupert, Mary Angela C |
|---|---|
| License Number | 06001865A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | JASPER |
| State | IN |