The holder whose full name is Frederick, Tonya Jo,come from Petersburg IN,hold the Phys Ther Assistant license(NO.06004670A) which status is Active.
| Name | Frederick, Tonya Jo |
|---|---|
| License Number | 06004670A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Petersburg |
| State | IN |