The holder whose full name is Jackowiak, Adam James,come from Goshen IN,hold the Physical Therapist license(NO.05010991A) which status is Active.
| Name | Jackowiak, Adam James |
|---|---|
| License Number | 05010991A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Goshen |
| State | IN |