Mailing List Request

The Louisiana Physical Therapy Board offers an electronic mailing list of all licensed Physical Therapists and Physical Therapist Assistants in the State. The list contains each licensee’s first, middle, and last name, license type, and mailing address (street address, city, state, and zip code). Responses are emailed within three business days of receipt of the request and payment.

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Payment Information

Acceptable forms of payment are Visa, MasterCard, Discover, or American Express credit cards.
A $3.00 processing fee will be applied to credit card payments.


Requestor Signature

Date

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