The holder whose full name is Tammany, Justin Edward,come from Greenwood IN,hold the Physical Therapist license(NO.05009342A) which status is Expired.
| Name | Tammany, Justin Edward |
|---|---|
| License Number | 05009342A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Greenwood |
| State | IN |