Hannah Norman

 
 North County Physical Therapy 
 patient name: Hannah Norman 
 17815 Countryside Ct 
 Physical Therapy 
 dob: 29/11/1990
 Prunedale, CA 93277-8274 
 Document Date: 11/08/2022 
 Initial 
 Phone: (831)274-5279 
 Fax: (831)627-9272 
 Examination 
 Treatment to be provided: 
 Procedures 
 Therapeutic Exercises (ROM, Strength, Endurance), Neuromuscular Rehabilitation (Muscle Re-Education, Sequencing, 
 Coordination, PNF), 
 M 
 Michael C Nease, MPT 
 PT22721 for State of CA 
 Electronically signed by Michael C Nease, MPT on 14/08/2021 at 10:43 am 
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 GB IA Recv 2022271922739 
 Received 12/19/2022
