The holder whose full name is Laput, Everest Sato,come from Warsaw IN,hold the Physical Therapist license(NO.05007098A) which status is Active.
| Name | Laput, Everest Sato |
|---|---|
| License Number | 05007098A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Warsaw |
| State | IN |