Peter Jackson

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 306 
 KAISER PERMANENTE庐 
 Peter Jackson 
 MRN: 110214021821, birthdate: 1986 Jul 21, Sex: 
 F 
 SSN: xxx-xx-3214 
 date of visit: 2015 Nov 24
 2017 Dec 07 - Work Comp in OCC PHYSICAL THERAPY -STE 5038 
 Physical Medicine Notes 
 THERAPIST, PHYSICAL 
 Progress Notes by Lattupally, Shirisha (P.T.) at 1/3/2008 0952 
 Version 1 of 1 
 Author: Lattupally, Shirisha (P.T.) 
 Service: 
 Author Type: THERAPIST, PHYSICAL 
 Filed: 1/3/2008 9:52 AM 
 encounter date: 2022 Jul 01
 Creation Time: 1/3/2008 9:52 AM 
 Status: Signed 
 Editor: Lattupally, Shirisha (P.T.) (THERAPIST, PHYSICAL) 
 PT visits: 7/8. 
 Injury Date: 2015 Nov 09
 Left knee contusion. 
 Generated on 4/12/22 10:33 AM 
 000306 
 0305
