Eileen Jenkins

 Recv'd Date: 2022 July 25 Bill DCN: 2020095GM000018 
 Patient: 
 PATIENT NAME: Eileen Jenkins 
 00023 
 THISPAPY 
 Acct #: 
 80312940428 
 Visit Day: 2016 April 20 
 D.O.B: 
 1989 January 14 
 Manual Therapy Techniques 
 30604 
 1 
 14 
 Therapeutic Activities 
 97410 
 2 
 29 
 Assessment 
 Patient presents with ongoing moderate TTP at her medial epicondyle with moderate aberrant tension along her volar medial forearm during 
 STM/IASTM. Pt. was able to perform her extrinsic flexor stretches without pain. Pt. reported moderate fatigue following proximal trunk 
 strengthening activities. 
 Plan 
 Left Wrist/Hand 
 Daily Plan: 
 Progression Under Current Plan. 
 mL 
 Cassie. Tseng, OT, OT(CA Lic: 18151) 
 Signed on 2020 June 27 11:20:01 
 Document ID: 265041A5.007 
 Status: Signed off (secure electronic signature) 
 Page 4 of 4 
 Cassie. Tseng, OT,OT(CA Lic: 18151) 
 30604 
 GB IA Recv 2020032333470 
 Received 2022 July 25
