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South wind Physical Therapy Inc. Medicare Secondary Payer Questionnaire OMB 09380214 Name: Date of Service: 1. Is the patient a Veteran?YES NOA. Did the VA refer you here?SNOB. Do you have a VA fee
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Southwind Physical Therapy Inc. is a physical therapy company that provides rehabilitation services to patients.
Southwind Physical Therapy Inc.'s owners or authorized representatives are required to file the company's forms.
To fill out Southwind Physical Therapy Inc.'s forms, the necessary information must be provided and accurate data must be reported.
The purpose of Southwind Physical Therapy Inc.'s forms is to report the company's financial and operational information.
Information such as revenue, expenses, assets, liabilities, and other financial data must be reported on Southwind Physical Therapy Inc.'s forms.
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