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Full Name
Do you currently treat solo or with a team of assistants/extenders?
Solo
With Extenders
Do you currently provide physical rehab to most patients?
Most of the time
Some of the time
Never
Do you currently provide soft-tissue therapy to most patients?
Most of the time
Some of the Time
Never
Do you currently use advanced treatment options such as Dry Needling, Sockwave Therapy, or EMMTT/PEMF?
Dry Needling
Shockwave Therapy
EMMT/PEMF
Laser, Other
none
Name of your primary practice
Address of your primary practice or home
Email Address
Phone Number
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