The holder whose full name is MC INTOSH, DIANNE B,come from NEW HAVEN IN,hold the Physical Therapist license(NO.05000896A) which status is Active.
| Name | MC INTOSH, DIANNE B |
|---|---|
| License Number | 05000896A |
| License Type | Physical Therapist |
| License Status | Active |
| City | NEW HAVEN |
| State | IN |