Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Ky Viet Phan
Physical Therapist AssistantCLINIC
Jo Ellen Living Center4502 General Meyers Ave
New Orleans, LA 70131
18556180092
LICENSE
Type: PTAStatus: Active
License #: A3976
Issue Date: 07/14/2022
Expiration Date: 04/30/2027