The holder whose full name is Berghoff, Marie Elise,come from Fort Wayne IN,hold the Physical Therapist license(NO.05011142A) which status is Active.
| Name | Berghoff, Marie Elise |
|---|---|
| License Number | 05011142A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |