Louisiana Physical Therapy Board

214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501

Verification of Licensure

Diane Bernard

Physical Therapist

CLINIC

Shriners Hospital for Children
3100 Samford Avenue
Shreveport, LA 711034289
3182225704

LICENSE

Type: PT
Status: Expired
License #: 02615
Issue Date: 12/21/1995
Expiration Date: 04/30/2022

BOARD ACTION

None

This serves as primary source verification from the Louisiana Physical Therapy Board. A "Yes" under Board Action means that there is information available to the public and can be accessed via the Board's website at www.laptboard.org.