The holder whose full name is Lewallen, Amanda Rae,come from Plainfield IN,hold the Physical Therapist license(NO.05009083A) which status is Active.
| Name | Lewallen, Amanda Rae |
|---|---|
| License Number | 05009083A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Plainfield |
| State | IN |