The holder whose full name is Dereka, Natalie D.,come from Valparaiso IN,hold the Physical Therapist license(NO.05010663A) which status is Active.
| Name | Dereka, Natalie D. |
|---|---|
| License Number | 05010663A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Valparaiso |
| State | IN |