The holder whose full name is Balao, Edith Faye,come from Indianapolis IN,hold the Physical Therapist license(NO.05007338A) which status is Active.
| Name | Balao, Edith Faye |
|---|---|
| License Number | 05007338A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Indianapolis |
| State | IN |