The holder whose full name is Boom, Dennis Bernardus,come from Carmel IN,hold the Physical Therapist license(NO.05005299A) which status is Active.
| Name | Boom, Dennis Bernardus |
|---|---|
| License Number | 05005299A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Carmel |
| State | IN |