Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Demetria Chardae Fountain
Physical Therapist AssistantCLINIC
Baton Rouge General3600 Florida Blvd
Baton Rouge, LA 70806
2253812537
LICENSE
Type: PTAStatus: Active
License #: A11826
Issue Date: 07/11/2024
Expiration Date: 04/30/2026