The holder whose full name is Ellis, Todd Christopher,come from La Porte IN,hold the Phys Ther Assistant license(NO.06004506A) which status is Active.
| Name | Ellis, Todd Christopher |
|---|---|
| License Number | 06004506A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | La Porte |
| State | IN |