Louisiana Physical Therapy Board

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

Verification of Licensure

Jackie Hebert

Physical Therapist Assistant

CLINIC

100 William O States
Ste A
Lafayette, LA 70506
3374060712

LICENSE

Type: PTA
Status: Expired
License #: A2385G
Issue Date: 11/17/1994
Expiration Date: 12/31/2005

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.