Jason Sosa

 
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 From icampusano 1.848.348.8485 Tue Oct 4 18:40:18 2022 EDT Page 12 of 106 
 Ronald Fujimoto DO 
 Physical Medicine and Rehabilitation 
 Apr 01, 2019 
 RehabOne 
 RehabOne Programs PROCESS 
 Work and Disability Status 
 Supervising Physician:Ronald Fujimoto DO 
 Performing Provider: Dr Michael Vance MD 
 visiting date: 03/2019/04 Insurance:Crum and Forester Orange Adjuster:Bailon Leticia 
 PATIENT NAME: Jason Sosa Claim#:PZC48924484 DATE OF INJURY:05/2023/27
 Work Status: 
 Mr. Foster can work with the following PERMANENT work restrictions: 
 No climbing, prolonged standing or crawling 
 Alternate between sitting and standing. 
 Sincerely, 
 Kamark 
 MD 
 Amruta Samarth MD 
 RehabOne Medical Group, Inc. 
 Today's date: 04/01/2019 
 Foster, Edward : Apr 01, 2019 
 page 1 
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