The holder whose full name is Booth, Ursula Yvonne,come from Indianapolis IN,hold the Physical Therapist license(NO.05004557A) which status is Active.
| Name | Booth, Ursula Yvonne |
|---|---|
| License Number | 05004557A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Indianapolis |
| State | IN |