Louisiana Physical Therapy Board

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

Verification of Licensure

Natalie Fasullo Boudreaux

Physical Therapist

CLINIC

Our Lady of the Lake Regional Medical Center
5000 Hennessy Blvd
Baton Rouge , LA 70806
2257656565

LICENSE

Type: PT
Status: Active
License #: 08744
Issue Date: 11/06/2013
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.