Louisiana Physical Therapy Board

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

Verification of Licensure

Anita Rochelle Long

Physical Therapist Assistant

CLINIC

4900 Medical Drive
Shreveport, LA 71112-
3187479500

LICENSE

Type: PTA
Status: Expired
License #: A4593
Issue Date: 10/26/2000
Expiration Date: 12/31/2003

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.