Adam Valencia MD

 
 North County Physical Therapy 
 patient: Adam Valencia MD 
 17815 Countryside Ct 
 Physical Therapy 
 DATE OF BIRTH: 85-06-23
 Prunedale, CA 93347-8344 
 Document Date: 11/08/2022 
 Initial 
 Phone: (831)344-5349 
 Fax: (831)634-9342 
 Examination 
 Treatment to be provided: 
 Procedures 
 Therapeutic Exercises (ROM, Strength, Endurance), Neuromuscular Rehabilitation (Muscle Re-Education, Sequencing, 
 Coordination, PNF), 
 M 
 Michael C Nease, MPT 
 PT23421 for State of CA 
 SIGNATURE Michael C Nease, MPT on 22-11-03 at 1:50 am 
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 GB IA Recv 2022341923439 
 Received 12/19/2022
