Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Annie Ruth Gaughan
Physical Therapist AssistantCLINIC
Peak Performance750 Jefferson Hwy
Baton Rouge, LA 70806
2258311300
LICENSE
Type: PTAStatus: Provisional
License #: A12106
Issue Date: 06/06/2025
Expiration Date: 09/04/2025