Paul Bridges

 
 05-03-2019 19:59:15 EDT 
 To: 19549226864 
 Page: 02/662
 From: Lauris Rigdon 
 Plan of Care 
 Patient: 
 Ruth Warren
 ONONDAGA 
 DOB: 
 02-09-1985 Sex: F 
 PHYSICAL THERAPY 
 Visit: 
 07-08-2019 Visit # 1 
 Provider: 
 Maria Stalder, PT, DPT 
 NPI# 
 1992425722 
 Clinic Details 
 Case Details 
 Clinic 
 Address 
 Injury Description 
 Date of Plan of Care 
 Onondaga Physical Therapy 
 15 East Genesee Street 
 SIJ dysfunction 
 6/7/2023 
 Suite 130 
 Injury Onset Date 
 3156355xxx 
 M99.04, M25.551 
 06-01-2017
 Fax # 
 Referring Physician 
 3156253662 
 MICHAEL MINCOLLA 
 Assessment 
 Patient: Ruth Warren (DOB: 02-09-1985) 
 Treated by Maria Stalder, PT. DPT (License #049147) 
 DOS: 30-07-2023
 Page 1 of 62 of Plan of Care
