James Sellers

 
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 Tow er Physical Therapy, Inc. 
 Patient N ame:James Sellers
 1751 Colorado Ave, Suite 750 
 Patient # :375805 
 Turlock, CA 75382-7500 
 Phone: (275)756-7560 
 Daily N ote / 
 BIRTH DATE: 1992 February 03
 Document Date: 2020 July 14
 Fax: (275)275-3755 
 Billing Sheet 
 Plan 
 Instructions: Progressing Patient Next Visit 
 Mar 
 Chris Stempson, MPT, CSCS 
 PT25198 for State of CA 
 E lectronically Signed b y Chris Stempson, MP,TCSCS on 2020 January 17 at 9:39 am 
 007543 
 0753 
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