Louisiana Physical Therapy Board

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

Verification of Licensure

Robert Mack Jacob

Physical Therapist

CLINIC

Intensive Specialty Hospital
1800 Irving Place
Shreveport, LA 71101
3184254096

LICENSE

Type: PT
Status: Active
License #: 03829
Issue Date: 03/24/1998
Expiration Date: 04/30/2026

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.