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SHAGLENDA ARY LIVINGSTON

Compact Holder Physical Therapist Assistant

Compact Privilege

Type:
PTA
Status:
EXPIRED
Compact Privilege #:
CP011212A
Expiration Date:
04/30/2022
Effective Date:
03/31/2022

Proof of Licensure

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Peter Allan Lock

Physical Therapist

Clinic

Address:
Willis Knight Medical Center
Shreveport

License

Type:
PT
Status:
Expired
License #:
09586R
Expiration Date:
04/30/2018
Issue Date:
02/03/2017

Board Action

None

Proof of Licensure

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Virginia Sue Loftin

Physical Therapist

Clinic

Address:
Tri-State Physical Therapy, Inc.
8660 Fern Ave
160
Shreveport, LA 71105
Phone:
3186317999

License

Type:
PT
Status:
Active
License #:
00162R
Expiration Date:
04/30/2026
Issue Date:
01/01/1988

Board Action

None

Proof of Licensure

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Anita Rochelle Long

Physical Therapist Assistant

Clinic

Address:
4900 Medical Drive
Shreveport, LA 71112-
Phone:
3187479500

License

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

Board Action

None

Proof of Licensure

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Daniel Cain Loreno

Physical Therapist

Clinic

Address:
Willis Knighton
2600 Greenwood Rd
Shreveport, LA 71103
Phone:
3182124720

License

Type:
PT
Status:
Expired
License #:
06907
Expiration Date:
04/30/2024
Issue Date:
12/08/2005

Board Action

None

Proof of Licensure

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Johanna Lough

Physical Therapist

Clinic

Address:
On Point Physical Therapy & Wellness LLC
7951 Fern Avenue
# 1203
Shreveport, LA 71105
Phone:
3188282972

License

Type:
PT
Status:
Active
License #:
02086F
Expiration Date:
04/30/2027
Issue Date:
01/18/1995

Board Action

None

Proof of Licensure

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Victoria Jane Magryta

Physical Therapist Assistant

Clinic

Address:
Southern Oaks
1524 Glen Oaks
Shreveport, LA 71103
Phone:
3182210911

License

Type:
PTA
Status:
Expired
License #:
A1988G
Expiration Date:
04/30/2017
Issue Date:
11/17/1993

Board Action

None

Proof of Licensure

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Edward Christopher Mahoney

Physical Therapist

Clinic

Address:
LSU HSC Shreveport
1501 Kings Hwy
Shreveport, LA 71130
Phone:
3188132940

License

Type:
PT
Status:
Active
License #:
05126
Expiration Date:
04/30/2026
Issue Date:
08/28/2002

Board Action

None

Proof of Licensure

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