The holder whose full name is Baguisa, Crisanta Mejia,come from Lafayette IN,hold the Physical Therapist license(NO.05009701A) which status is Active.
| Name | Baguisa, Crisanta Mejia |
|---|---|
| License Number | 05009701A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Lafayette |
| State | IN |