Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Charles Wallis Newby
Physical TherapistCLINIC
5000 Hennessy BlvdPT Department
Baton Rouge, LA 708084398
5047658846
LICENSE
Type: PTStatus: Expired
License #: 02532
Issue Date: 08/23/1995
Expiration Date: 12/31/1995