The holder whose full name is Farrell, Brent Michael,come from Zionsville IN,hold the Physical Therapist license(NO.05009422A) which status is Active.
| Name | Farrell, Brent Michael |
|---|---|
| License Number | 05009422A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Zionsville |
| State | IN |