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🔗 Source: rehabzonept.com
📊 Size: 310 KB
👤 Author: dhaas
⬇️ Downloads: 52

Summary

Rehab Zone Physical Therapy is located at 20 Kimball Avenue Suite 204, South Burlington, VT 05403, and can be contacted at (802) 497-0690. The patient information form requires details such as name, address, phone number, date of birth, and insurance information, including a copy of the insurance card. Additional information is requested for workers' compensation or motor vehicle accident cases, and a section is reserved for diagnosis, ICD10, and onset, which should not be written on by the patient.

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Description

Rehab Zone Physical Therapy is located at 20 Kimball Avenue Suite 204, South Burlington, VT 05403, and can be contacted at (802) 497-0690.

Technical Information

  • File Format: PDF
  • File Size: 310 KB
  • Pages: 1
  • Language: EN
  • Author: dhaas
  • Total Downloads: 52
  • Last Updated: 1 month ago

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