Louisiana Physical Therapy Board

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

Verification of Licensure

Lanie Michele Broussard

Physical Therapist

CLINIC

Willis Knighton S Pediatric Rehab
2530 Bert Kounce Ind Loop
Suite 148
Shreveport, LA 71118
3182125336

LICENSE

Type: PT
Status: Expired
License #: 06931
Issue Date: 12/08/2005
Expiration Date: 12/31/2007

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.