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Sari Ann Lewis OTR/L RCST 10601 N. Hayden Road Suite 108 Scottsdale AZ 85260 www. sarihands. com Phone 480 998-8448 Fax 480 451-1352 I authorize Sari Hands PLC to charge my credit card for the patient responsible non-insurance covered charges co-pay co-insurance deductible missed visit charges late cancelation fees etc. incurred during my course of treatment. Credit Card Type Visa MasterCard Credit Card Number Expiration Date/ CVV Code Full Address/Zip Code Cardholder Name Signature Date. I...
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What is sari ann lewis otrl?
Sari Ann Lewis OTRL stands for Sari Ann Lewis, Occupational Therapist, Registered and Licensed.
Who is required to file sari ann lewis otrl?
Occupational Therapists who are registered and licensed like Sari Ann Lewis are required to file the OTRL form.
How to fill out sari ann lewis otrl?
Sari Ann Lewis OTRL form can be filled out by providing all the required information about the occupational therapy practice.
What is the purpose of sari ann lewis otrl?
The purpose of Sari Ann Lewis OTRL form is to report information about the occupational therapy practice conducted by Sari Ann Lewis.
What information must be reported on sari ann lewis otrl?
The Sari Ann Lewis OTRL form must include details such as patient treatments, services provided, and any relevant occupational therapy activities.
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