The holder whose full name is POLISIAKIEWICZ, ANNA,come from Fort Wayne IN,hold the Physical Therapist license(NO.05003919A) which status is Active.
| Name | POLISIAKIEWICZ, ANNA |
|---|---|
| License Number | 05003919A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |