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Find a Physical Therapist / Verify a License

Jacob Cain Engle

Physical Therapist Assistant

Clinic

Address:
Willis Knighton
2600 Greenwood Road
Shreveport, LA 71103
Phone:
3182126451

License

Type:
PTA
Status:
Active
License #:
A7930
Expiration Date:
04/30/2027
Issue Date:
08/16/2010

Board Action

None

Proof of Licensure

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Timothy Daniel Ethridge

Physical Therapist Assistant

Clinic

Address:
Willis Knighton health system
2600 Greenwood Rd Shreveport, LA
Shreveport, LA 71103
Phone:
3182123000

License

Type:
PTA
Status:
Active
License #:
A9137R
Expiration Date:
04/30/2027
Issue Date:
06/25/2015

Board Action

None

Proof of Licensure

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Denice Eileen Etling

Physical Therapist

Clinic

Address:
Christus Schumpert
One Saint Mary Place
Shreveport, LA 71101
Phone:
3186814803

License

Type:
PT
Status:
Expired
License #:
06560R
Expiration Date:
12/31/2007
Issue Date:
05/20/2004

Board Action

None

Proof of Licensure

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Christopher Lee Fanning

Physical Therapist Assistant

Clinic

Address:
Synergy Home Care
2533 Bert Kouns Ind Lp
Suite 117
Shreveport, LA 71118
Phone:
3185500285

License

Type:
PTA
Status:
Expired
License #:
A3527
Expiration Date:
04/30/2023
Issue Date:
08/28/1997

Board Action

None

Proof of Licensure

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Kimberly Diane Farrar

Physical Therapist Assistant

Clinic

Address:
Willis Knighton Medical Center
2600 Greenwood Rd.
Shreveport, LA 71103
Phone:
3185488000

License

Type:
PTA
Status:
Active
License #:
A7388
Expiration Date:
04/30/2027
Issue Date:
06/16/2008

Board Action

None

Proof of Licensure

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Bethany Ann Faul Newsom

Physical Therapist

Clinic

Address:
Christus Shumpert Medical Center
One St. Mary Place
Shreveport, LA 71101
Phone:
3186814500

License

Type:
PT
Status:
Expired
License #:
08559
Expiration Date:
04/30/2015
Issue Date:
07/31/2013

Board Action

None

Proof of Licensure

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Paula Prothro Fenter

Physical Therapist

Clinic

Address:
Retired - Gratis Associate Professor
441 MOHICAN LANE
SHREVEPORT, LA 71106
Phone:
3188207878

License

Type:
PT
Status:
Expired
License #:
00174
Expiration Date:
04/30/2025
Issue Date:
01/01/1988

Board Action

None

Proof of Licensure

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Arlene C. Fernandez

Physical Therapist

Clinic

Address:
2140 Midway Avenue
Shreveport, LA 71108-
Phone:
3186219777

License

Type:
PT
Status:
Incomplete
License #:
02748F
Expiration Date:
Issue Date:

Board Action

None

Proof of Licensure

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