Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Tara Thananetapon Alaichamy
Physical TherapistCLINIC
Christus Outpatient Therapy Services4187 Viking Drive
Bossier City, LA 71111
3186811280
LICENSE
Type: PTStatus: Active
License #: 11246R
Issue Date: 06/03/2022
Expiration Date: 04/30/2028