The holder whose full name is Baumgartner, Max Richard,come from Fort Wayne IN,hold the Physical Therapist license(NO.05011250A) which status is Active.
| Name | Baumgartner, Max Richard |
|---|---|
| License Number | 05011250A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |