Dennis Ruiz

 
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 188 
 KAISER PERMANENTE庐 
 Dennis Ruiz 
 MRN: 110184071888, Date of Birth: 29/08/99, Sex: 
 F 
 SSN: xxx-xx-3184 
 Visit Day: 29/07/22 
 21/04/20 - Work Comp in OCC PHYSICAL THERAPY -STE 5038 
 All Charges for This Encounter 
 Code 
 Description 
 Service Date 
 Service Provider 
 Modifiers 
 Qty 
 97014 
 APPLICATION MODALITY TO 1 OR MORE 
 21/07/19 
 Lattupally, Shirisha (P.T.) 
 1 
 AREAS; E-STIM 
 Physical Medicine Notes 
 THERAPIST, PHYSICAL 
 Progress Notes by Lattupally, Shirisha (P.T.) at 9/25/2007 1010 
 Version 1 of 1 
 Author: Lattupally, Shirisha (P.T.) 
 Service: - 
 Author Type: THERAPIST, PHYSICAL 
 Filed: 9/25/2007 10:10 AM 
 DATE OF ENCOUNTER: 21/07/18 
 Creation Time: 9/25/2007 10:10 AM 
 DOI: 27/08/18
 Generated on 4/12/22 10:33 AM 
 000188 
 0187
