The holder whose full name is Smiddy, Michanne R.,come from Newburgh IN,hold the Phys Ther Assistant license(NO.06003956A) which status is Active.
| Name | Smiddy, Michanne R. |
|---|---|
| License Number | 06003956A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Newburgh |
| State | IN |