Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Hollis Walsdorf Fousse, PTA

Individual provider Physical Therapy Assistant · NPI 1720611031

Mrs. Hollis Walsdorf Fousse, PTA is a Physical Therapy Assistant in Lake Charles, Louisiana. Licensed in Arizona and Louisiana. Registered with an NPI since 2020.

Licensed in
AZ, LA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1714 Wolf Cir
Lake Charles, LA 70605-2353
Phone: (337) 304-8024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A7726 (LA)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA-010009 (AZ)

Record details

NPI number1720611031
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 14, 2020
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020

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