Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Michael Wayne Wiltcher
Physical Therapist AssistantCLINIC
Promise Speciality HospitalLine Avenue
Shreveport, LA 71156
3184254096
LICENSE
Type: PTAStatus: Expired
License #: A4933
Issue Date: 09/26/2001
Expiration Date: 08/14/2007