Louisiana Physical Therapy Board

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

Verification of Licensure

SAMUEL KULLEN MANCIL

Physical Therapist

CLINIC

Moreau Physical Therapy
4112 Lake St #600, Lake Charles, LA, 70605
Lake Charles, LA 70605
3376028614

LICENSE

Type: PT
Status: Active
License #: 11254
Issue Date: 02/03/2023
Expiration Date: 04/30/2027

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.