The holder whose full name is LAXAMANA, LUIGINI L,come from Crown Point IN,hold the Physical Therapist license(NO.05004905A) which status is Active.
| Name | LAXAMANA, LUIGINI L |
|---|---|
| License Number | 05004905A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Crown Point |
| State | IN |