The holder whose full name is Mendala, Jacek Wladyslaw,come from Hammond IN,hold the Physical Therapist license(NO.05007301A) which status is Active.
| Name | Mendala, Jacek Wladyslaw |
|---|---|
| License Number | 05007301A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Hammond |
| State | IN |