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Power Physical Therapy and Sports Medicine
3140 Red Hill Ave, Suite 225 Costa Mesa, CA (714) 5572100PATIENT INFORMATION
First Name:Last Name:Middle Initial:Address:
Birth date://Age:Home Phone: ()Male
Female
Cell
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What is power physical formrapy and?
Power physical formrapy is a form used to report the status of physical therapy and treatment.
Who is required to file power physical formrapy and?
Individuals or entities providing physical therapy services are required to file power physical formrapy.
How to fill out power physical formrapy and?
Power physical formrapy can be filled out online or on paper, following the instructions provided by the relevant authorities.
What is the purpose of power physical formrapy and?
The purpose of power physical formrapy is to monitor and regulate the provision of physical therapy services.
What information must be reported on power physical formrapy and?
Information such as patient demographics, treatment provided, and outcomes must be reported on power physical formrapy.
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