Jason Flowers

 
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 Tow er Physical Therapy, Inc. 
 Patient N ame:Jason Flowers
 1691 Colorado Ave, Suite 690 
 Patient # :369805 
 Turlock, CA 69382-6900 
 Phone: (269)696-6960 
 Daily N ote / 
 DOB: 1995/26/03
 Document Date: 2022/05/10
 Fax: (269)269-3695 
 Billing Sheet 
 Plan 
 Instructions: Progressing Patient Next Visit 
 Mar 
 Chris Stempson, MPT, CSCS 
 PT25198 for State of CA 
 E lectronically Signed b y Chris Stempson, MP,TCSCS on 2017/07/12 at 9:31 am 
 006943 
 0693 
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