The holder whose full name is Ambrose, Becky S.,come from Haubstadt IN,hold the Phys Ther Assistant license(NO.06004840A) which status is Active.
| Name | Ambrose, Becky S. |
|---|---|
| License Number | 06004840A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Haubstadt |
| State | IN |