Louisiana Physical Therapy Board

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

Verification of Licensure

Nicholas Dean Gough

Physical Therapist Assistant

CLINIC

Audubon
9181 Interline Ave
200
Baton Rouge, LA 70809
2259312139

LICENSE

Type: PTA
Status: Active
License #: A10299
Issue Date: 07/16/2019
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.