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Alabama.gov CERTIFICATION OF PHYSICAL THERAPY EDUCATION I hereby certify that Name of Applicant Successfully completed the academic curriculum in physical therapy on Received the degree on Degree Certificate Mo. STATE OF ALABAMA BOARD OF PHYSICAL THERAPY 100 NORTH UNION STREET SUITE 724 P. O. BOX 305040 MONTGOMERY AL 36130-5040 Phone 888 726-9743 Fax 334 242-3288 e-mail info pt. Day Year At Name of Institution Signature of Authorized Representative of School Type or Print Name and Title Date...

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