Brittany Harris

 
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 188 
 KAISER PERMANENTE庐 
 Brittany Harris 
 MRN: 110154071588, date of birth: 1992 August 05, Sex: 
 F 
 SSN: xxx-xx-3154 
 Visit Day: 2022 November 16 
 2016 March 15 - 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 
 2016 December 28 
 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 
 ENCOUNTER DATE: 2016 December 04 
 Creation Time: 9/25/2007 10:10 AM 
 DOI: 2021 April 30
 Generated on 4/12/22 10:33 AM 
 000188 
 0187
