Louisiana Physical Therapy Board

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

Verification of Licensure

Issma Ayesha Mohamed

Physical Therapist Assistant

CLINIC

Southern Cross Physical Therapy
5420 CORPORATE BLVD
Suite 100
Baton Rouge, LA 70808
2259263343

LICENSE

Type: PTA
Status: Active
License #: A1743R
Issue Date: 07/21/1993
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.