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Professional Licensing Boards Division Verification of Physical Therapist/PTA Education Must submit verification of graduation upon graduation This is to certify that Print name will graduate from Name of School on with a PT/PTA degree. Date Applicant s Signature Return completed form to Georgia State Board of Physical Therapy 237 Coliseum Drive Macon Georgia 31217 Fax 1-866-888-1308 www.
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Verification of physical formrapistpta is a process to confirm the physical presence and identity of an individual.
The individuals who require verification of physical formrapistpta are those who need to provide proof of their physical presence and identity.
Verification of physical formrapistpta can be filled out by providing the required information such as name, address, date of birth, and signature.
The purpose of verification of physical formrapistpta is to authenticate the physical presence and identity of an individual.
The information that must be reported on verification of physical formrapistpta includes name, address, date of birth, and signature.
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