Walter Gallagher

 
 North County Physical Therapy 
 Patient name: Walter Gallagher 
 17815 Countryside Ct 
 Physical Therapy 
 D.O.B: 04 March 1988
 Prunedale, CA 93587-8584 
 Document Date: 11/08/2022 
 Initial 
 Phone: (831)584-5589 
 Fax: (831)658-9582 
 Examination 
 Treatment to be provided: 
 Procedures 
 Therapeutic Exercises (ROM, Strength, Endurance), Neuromuscular Rehabilitation (Muscle Re-Education, Sequencing, 
 Coordination, PNF), 
 M 
 Michael C Nease, MPT 
 PT25821 for State of CA 
 ELECTRONICALLY SIGNED BY Michael C Nease, MPT on 16 September 2015 at 1:24 am 
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 GB IA Recv 2022581925839 
 Received 12/19/2022
