Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Darrel John Dominique
Physical Therapist AssistantCLINIC
Gulf South Therapy3525 Bienville St
New Orleans, LA 70119
5046032630
LICENSE
Type: PTAStatus: Active
License #: A7461
Issue Date: 11/19/2008
Expiration Date: 04/30/2027