The holder whose full name is Blackburn, Brooke Christine,come from Vincennes IN,hold the Phys Ther Assistant license(NO.06003722A) which status is Active.
| Name | Blackburn, Brooke Christine |
|---|---|
| License Number | 06003722A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Vincennes |
| State | IN |