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Published by IPTA—Idaho Physical Therapy Association,
Inc. |
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THE
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Fall |
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IPTA Annual Meeting, April 16, 2011 Join us
for our Spring Meeting CONTINUING EDUCATION!!! Continuing
Education, Sat. and Sun. April 16/17, 2011. |
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The Science of Healing. The Art of Caring.
Al Crothers |
Inside this edition: President Message: p. 2 &3. VP Report: p. 4. New Mission & Vision: p. 4 New IPTA Strategic Plan: p. 5&6 Reimbursement News: p. 7 & 8 News from APTA: p. 7 & 8 |
Membership Challenge: p. 8 Licensure Board Report: p. 9 PTA Caucus Rep report: p. 10 & 11 PTs Making News!: p. 12 & 13 New Specialists: p. 14 Concussion Legislation: p. 15 & 16 Pediatric Liaison Report: p.16 & 17 |
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PRESIDENT MESSAGE
uofmgriz@msn.com,
acrothers@elksrehab.org (208) 867-5294 |
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As we enter 2011, we should take time to remember the great things that we, as a profession, do to improve the lives of the people we care for. We have the unique skills to make a difference in their quality of life and their overall health in the area of neuro and musculoskeletal injuries. Physical therapists provide rehab for persons throughout all stages of life and should be proud of our place in the medical community. Several members of the IPTA attended the recent Combined
Sections meeting in Also, I was very happy to receive recognition for the
credentialing of St Lukes - Elks Rehab Sports Physical Therapy Residency
Program from the APTA’s American Board of Physical Therapy Residency and
Fellowship Education. This is the first of hopefully many credentialed
Residency and Fellowship programs in The current We recently completed the chapter strategic planning session. I want to thank Cory Lewis, Chapter Vice President for arranging to have Janet Bezner from APTA be the facilitator. We feel we have charted a great future for the IPTA and look for all members to stay involved in shaping this future. The IPTA has a great spring meeting/continuing education program scheduled. George Davies is a well known educator, lecturer and researcher with many years of great experience. He is a great speaker and we look forward to a great conference. Tell all your colleagues and encourage them to attend. I will reiterate the importance of being an active member
of the APTA/IPTA. These are the only organizations that are actively looking
out for the interests of the profession. With that in mind we are working on
improving membership through a $500 grant from the APTA to encourage students
and new professionals to become members. We are scheduling an event at If anyone wishes to discuss these or any other issues please contact me atuofmgriz@msn.com or acrothers@elksrehab.org. We need to base all our treatments on good evidence and always consider what is best for the patient and not the bottom line. I know that can be difficult as we all work in environments that need a certain level of financial stability to continue to provide care. I just hope that everyone will look at the big picture when making these tough decisions. These and other issues make it imperative that all PT’s/PTA’s stay involved. The best way to do that is to be active members of the APTA/IPTA. These are the only organizations that are actively looking out for the interests of the profession. I would like every PT/PTA to seriously consider becoming a member if you aren’t already. We need to shape our profession to continue to do the great things we already do. If anyone wishes to discuss these or any other issues please contact me. |
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Sports Physical Therapy Residency
Program St. Luke’s - Elks Rehab. (SLER)
Sports Physical Therapy Residency Program in A credentialed residency or fellowship
program promotes standards of quality and consistency in the teaching and
practice of physical therapy. Through their voluntarily participation and
adherence to the requirements of the credentialing process, these programs
confirm to potential residents or fellows their commitment to providing
quality learning experiences by meeting established criteria. Additionally,
completion of the credentialing process is an affirmation to the public at
large of the Program’s commitment to the protection of the consumer of
physical therapy. SLER Sports Physical Therapy
Residency Program was recognized during Opening Ceremonies at the 2011
Combined Sections Meeting in |
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VICE PRESIDENT: REPORT: Cory Lewis
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We also updated our mission and
vision statements about what we want to stand for. Below, you will find the updated strategic
plan. We would appreciate your comments
and feedback. Once this document is
finalized, we will use it as a roadmap for the next couple of years. Thanks again to all who were able to
participate in this process and to Kevin Hulsey and staff of RehabAuthority’s
Eagle Clinic who hosted the planning meeting and provided refreshments.
STRATEGIC PLAN Vision Statement Physical therapists in the state of The Idaho Physical Therapy Association (IPTA) is the
principle membership organization representing and promoting the profession
of physical therapy in Assumptions about
the Future • In the area of Competition, there are or will be: – Other health care providers that compete with physical therapists – Referral for profit – Changes in health care delivery models (ACOs, medical home) – More knowledgeable consumers – Enhanced technology, as it applies to access to PT • In the area of Business/Economic Climate, there are or will be: – Issues about insurance (costs, coverage, source (Medicare, self-pay, Medicaid)) –
Changes in the economy – jobs going away,
benefits being cut ( – Regulations that may impact physical therapy business models – Multiple and large practices that can compete better than small practices • In the area of Legislation/Regulation, there is or will be: – No direct access under federal regulation (Medicare) –
Medicaid cuts in – Federal health care reform and questions about the role of physical therapy in new delivery models – A state legislature that has a philosophy to reduce government spending for health care • In the area of Social Values/Demographics, there are or will be: – Medicare/Medicaid/reimbursement influenced by the rural nature of the state and the demographics – Patients that have more co-morbidities and lifestyle diseases coupled with a lack of preventive services –
Diverse social and political values in the
state ( – Millions of baby boomers retiring daily, providing an opportunity for physical therapy – A significant population of refugee populations on Medicaid with additional needs that add costs to the provider • In the area of Technology/Science, there is or will be: – An electronic health record trend and influence on PT practice – Evidence-based practice – Social media and the importance of physical therapists being present on social media sites Goals, Objectives and Strategies 1. Payment and regulatory policies will reflect the clinical and practice management expertise and resources required to demonstrate the value and quality of physical therapy services. a. Hire a payment specialist i. Finance Committee investigate the costs associated with hiring a payment specialist by the Spring 2011 meeting ii. Executive Director will develop a job description for a payment specialist by Spring 2011 meeting iii. IPTA Board of Directors fund the position for 2012 iv. Education Committee to create a plan to educate the majority of PTs and PTAs on the value of a payment specialist by Fall 2011 b. Provide practice management educational opportunities i. Education Committee to provide at least one practice management educational opportunity per year ii. Board of Directors create a Task Force to develop technological access points to educate members about payment issues by Spring 2011 meeting iii. Task Force on Technology provide a preliminary report by the Fall 2011 c. Engage
the i. Reimbursement Chair/Committee provide at least one payor forum every other year, including a forum in 2011 ii. Legislative Committee organize one legislative event per year
iii.
Legislative Committee will recruit one engaged
PT/PTA member per IPTA district to serve on a grassroots legislative
committee by 2011 Fall meeting 2. Promote the profession of physical therapy to the public through the active recruitment of physical therapists and physical therapist assistants and engagement in the Idaho Physical Therapy Association. a. Increase the number of members to 550 by the end of 2012 i. Executive Director will communicate the dates of the spring and fall meetings to the Chair of the Idaho State PT program and student reps when they are known
ii.
Membership Chair and Student rep to plan and
hold a student luncheon at iii. Create a line item in the budget for an annual presentation at ISU and Carrington iv. Membership Chair and Executive Director create and send a ‘benefits of membership’ mailing, including the IPTA strategic plan, to nonmembers by December 31, 2011 v. Membership Committee create a ‘value of membership’ message and distribute to all Chapter leaders to be included in all IPTA gatherings and on main page of web site b. Improve the active engagement of members i. Board of Directors propose a bylaw change for consideration at the Fall 2011 meeting to require the District Chairs to be elected before the Fall Chapter meeting and align terms with the Board of Directors terms and to create a 2-year term ii. President and Executive Director conduct a chapter leadership orientation after elections at the Fall meeting, beginning in 2011 iii. Executive Director and Membership Committee develop a mentoring match of IPTA leaders and former leaders with members and nonmembers at the Spring and Fall meetings c. Increase member engagement in education of the public about the profession of physical therapy i. Include a letter in the fall newsletter from the Vice President about the members’ role in education of the public about physical therapy ii. Brand champion to create a ‘tip section’ for the web site, newsletter, Face Book, etc. about how to engage patients/clients in conversations about physical therapy iii. Web master to promote the APTA public relations resources on the IPTA web site by the end of 2011 |
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Doug
Simpson, Change in Wound Care Codes Effective January 1, 2011, the descriptions for CPT codes
97597 and 97598 are changed. These changes are part of an overall change in
the 110xx debridement codes. Code 97597 is described as “debridement (eg, high pressure waterjet with or without suction, sharp selective debridement with scissors, scalpel, and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudates, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed, and instruction(s) for ongoing care, per session; total wound(s) surface area 20 sq cm or less.” Code 97598 is now an add-on code. Therefore, it is used in addition to 97597 to report each additional 20 sq cm, or part thereof. Changes in PT Reimbursement "The most likely payment model for PT in the future
is one that will be based on an episode of care, with payment influenced by
patient characteristics, outcomes/value resulting from provider efforts. As you can see, there will continue be more and more
emphases on outcomes. If you have any
questions concerning reimbursement, you can email me at
dsimpson@clearwire.net. Chapter
Member Challenges Begin
We are competing with other chapters. Our overall goal is based on the combined total number of PT Fulls and PTA Fulls we had as of December 31, 2011. Our first interim goal is to ensure that facilities are signed up in the facility challenge by May 31, 2011. More information will be forthcoming, but the idea is to have every PT and PTA in a given facility as a member. For membership ideas and assistance contact Adam Cope, mailto:adam@rehabauthority.com |
From
APTA Tax Information Access APTA’s 2010 Important Tax Information document to find out which donations are recognized as charitable contributions for federal income tax purposes and how much of your component and national APTA dues cannot be deducted as ordinary and necessary business expenses. Consumer Handouts from APTA Add Physical Therapy and Concussions, Dizziness, and
Balance and The Impact of Aging on Balance and Dizziness to the
collection of APTA consumer handouts available in downloadable PDFs from APTA's
Web site. The handouts can be distributed at health fairs and other
community exhibits. New Enhancements Made To "Find
A PT" Consumer Resource In an effort to improve consumer access to physical therapists, APTA has launched the first significant redesign of the "Find a PT" database. Consumers can now search for physical therapists (and/or physical therapist facilities) by name and/or city, rather than by zipcode only. Additionally, the search categories have been simplified to allow consumers to narrow their search according to broad "practice areas" that use consumer-friendly terminology. Find a PT is exclusively for APTA member physical
therapists who are accepting patients; however, members must sign up to
participate. The newly enhanced profile feature has new tools, including the
ability to highlight up to five "practice focus" areas, to add
fields describing your professional experience and to upload headshots and
facility logos. Due to the new fields and features, existing participants are
strongly encouraged to update their Find a PT profiles. The sign up and update
process is now much simpler as it is linked to the My Profile area of the web
site, www.apta.org.
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APTA offers a free online course to members outlining the latest revisions to APTA's Code and Standards. This course provides a brief history of ethics in physical therapy, discusses the rationale for revising the Code and Standards, and examines the revisions in detail. No prerequisite knowledge is required. The Code of Ethics for the Physical Therapist now addresses the five roles of the PT (clinician, administrator, educator, researcher, and consultant), the core values of the profession, and the multiple realms of ethical action. The Standards of Ethical Conduct for the Physical Therapist Assistant more fully address the roles of the PTA in all areas of physical therapy and the multiple realms of ethical action. After completing the course, participants will understand why the Code and Standards were revised and be able to identify the documents' central ethical obligations. Both members and nonmembers can also obtain CEUs for
taking this course through the |
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Physical
Therapy Licensure Board
I
trust all of you are aware that Continuing education credits can come from a variety of sources including: v an organized program of learning that is a) germane to PT, b) conducted by individuals with specialized education, training , and experience in subject matter, c) includes a manual or outline describing the course with schedule, goals, and objectives, d)provides proof of attendance including date, location, course title, and official signature of instructor or course sponsor v presenting/teaching information at a professional program which meet criteria - two hours credit for each hour of presentation v academic courses which apply to physical therapy - one semester hour = 15 CE hours v workshops, conferences, symposiums that are germane to PT - must meet above criteria v authoring research or other activities published in professional publication - five hours credit for each page v video presentations if the following criteria is met: a) sponsoring group or agency, b) facilitator of program official present, c) official is NOT only attendee, d) meets all other criteria in rules v home study course - must have signed certificate of completion v courses of business-related topics, personal skills topics, or general health topics - each must have signed certificate of completion and meet other requirements as stated above If you are an instructor of a course and wish to have the course pre-approved by the board for CEU credit, you may do so by submitting to the board proof that the course meets all of the qualifications as outlined above. The board also has started a new section on the website called "frequently asked questions". To access go to www.ibol.idaho.gov and then choose physical therapy on the side bar. This will direct you to the FAQ section. You can also contact the administrative secretary through the website with questions or Larry Ohman, chairman at lpohman@yahoo.com. I hope this article is both informative and helpful. If you have suggestions about future topics for the newsletter please let me know! |
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Sept. 16/17, 2011. (Fri.pm. and all
day Sat.) Steve Forbush of International
Spine & Pain Institute will present a course on the foot and ankle in
conjunction with IPTA’s Annual Meeting in Watch for more info. |
Vendors
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PTA CAUCUS REPRESENTATIVE
REPORT: Jennifer Ford
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Combined Sections Meetings were
held in While at CSM I attended the PTA town hall meeting attended by John Barnes, APTA CEO and Scott Ward, APTA President. Scott Ward discussed that the APTA is working on the PTA Career Pathways. The PTA Career Pathways is in response to the APTA’s Board of Directors determining that the appropriate degree level for the PTA is an associate degree based on the data. He indicated that to move the PTA to a BS degree there would need to be data to support that move. He indicated that the APTA is supporting chapters that are being paid by payers who are instituting tiered systems of payment. John Barnes discussed the new Clinician Portal which will be launched soon on the APTA website as well as a new look to the current website. There will be a new edition to the Guide to Physical Therapist Practice to be released soon. The
APTA has hired a consultant to assist with moving the National Outcomes
Database project to the next level. He also discussed a new model of how the
Association will provide continuing education by collaborating with the
Sections. There will be a new Health Policy Research Pipeline which will help
to identify and fill research needs. Carmen
Elliott from Payment and Policy Advocacy Department discussed APTAs
involvement in third party reimbursement decreases. Recently in Kansas Blue
Cross/Blue Shield there was a 50% decrease in reimbursement for services
provided by a PTA; if this policy results in decreased access to care the
Kansas State Insurance Commissioner will become involved. This current policy
is in response to what the insurance company sites as over utilization and
educational levels. Currently Occupational Therapy is having similar
challenges. If you are having difficulties with reimbursement please contact
me at jenford1206@yahoo.com or
Doug Simpson ( A representative from Federal Payment Policy, Roshunda Drummond-Dye was on hand. She discussed new CMS guidelines regarding PTAs being clinical instructors for PTA students. The rule requires the student to be within line of sight of the PTA and under general supervision of the PT, this rule went into effect 10-1-10. She also announced new requirements for Home Health for functional assessments required on the 13th and 19th visit and once every 30 days. There are new codes to track who is providing services (PT or PTA). Kevin Hulsey announced that the APTA is preparing a new payment model for CMS as a result of the Health Care Reform. Janet Crosier PT, Director of PTA Services discussed new information that has been or will be posted to the PTA website, in the following areas: PTA Career Pathways (more information coming this fall), Values-Based Behaviors, Service Delivery Models, PTA Direction and Supervision Algorithms, PT/PTA Education Unit, PTA Educator Resources. PTA Caucus delegates’ David Emerick and Amy Smith covered the revised PTA Caucus Goals for 2011, which include: Promote increased communication and cooperation with the PTA education community, specifically the PTA Educators Special Interest Group, and other entities with impact on PTA education; Increase communication within the PTA Caucus and with external groups as indicated; Preserve PTA as the only other provider of physical therapy services; Promote the inclusion of PTAs in APTA governance (long-term goal). APTA has added a new category to the program for Recognition of Advanced Proficiency for the PTA for Aquatics. More areas may be added in the future. This program is specifically designed for PTA’s surpassing the experience, educational, and leadership requirements of the program as well as for working as part of a PT/PTA team in one of the following areas: Musculoskeletal, Neuromuscular, Integumentary, Cardiovascular/Pulmonary, Geriatrics, Pediatrics and/or Aquatics. Deadlines have changed: they are now April 1 and October 1. Information and requirements are available on the APTA website. Please encourage all eligible PTA’s to apply for this honor. Please feel free to contact me with any questions or
concerns by email: jenford1206@yahoo.com or by phone (208)305-4636. I look forward to hearing
from you and seeing you at the Spring IPTA Business Meeting in |
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“Don’t Repeal the Health Care Bill.
Now that we have
said good-bye to all the political ads and witnessed a mandate for a
different direction in I do not think
all the young Americans up to age 26 who now have health insurance through
their parents’ policy will be silent if the repeal efforts go forward. Nor will those people who have been denied
health care coverage due to pre-existing conditions or because they met a
lifetime maximum, who can now purchase insurance, or the small businesses
poised to take a substantial tax credit for 2010. Nor will the many people, including myself,
who are tired of shortsighted, knee-jerk reactions to score political points
while ignoring the long-term needs of the public. I know there will
be those who will cite their own statistics and own realities to counter my
position, and that is fine. I say to
them that there were plenty of naysayers in Congress at one point in our
history who wanted nothing more than to disband any standing United States
Army. Sometimes the short sightedness
is hard to understand. It is my humble
opinion that Congress needs to focus its energy and resources toward
reforming the healthcare bill. This is
more realistic and, I believe, has a much better chance of success. Polls still show that the public is almost
evenly divided on the bill, suggesting that any repeal efforts will be met by
vigorous and time-consuming protests.
In addition, repeal would result in the elimination of much needed
provisions, such as those cited above, that have already been enacted. I cannot justify
losing sight of the need for long-term major reform to prevent a collapse of
the healthcare system and our economy.
Although we do not know what the future will hold, I believe the good
of this bill outweighs the bad for every healthcare provider and therefore
reform, not repeal is the way to go. I propose the
following as two places to start.
Congress should amend the bill to include malpractice reform. Such reform was recommended by most experts
and was supported by the Republican caucus in Congress. Another worthwhile compromise is to allow
the purchase of health insurance across state lines. I look forward to the day that I can buy
health insurance like car insurance.
Although I know there are complex issues to consider, nothing I have
read dissuades me from believing that a system like this could work quite
well. The anticipated
struggle, repeal versus reform, will not be an easy fight. It is already clear that the insurance
lobby is lined up firmly behind the repeal movement. I urge you to join with me and other
healthcare providers to counter a lobby that we know does not have the
public’s interest in mind. Let’s not
be shortsighted for a change, but rather think big, think long-term. Let’s reform the bill and make it better! Reprinted from Howell, TM “Don’t Repeal
the Health Care Bill. Reform it” HPA
Resource, 2011 Vol.11, No. 1, p. 13 with permission of the Section on
Health Policy & Administration - APTA. This material is copyrighted, and
any further reproduction or distribution is prohibited. |
Justin Kane: 'I love what I do'
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Annual
Fall Meeting, 2010 The following members were elected to IPTA Board of Directors at the annual meeting last October. Al Crothers of Thanks were extended to outgoing secretary Shirley Rencken who finished her second term and Darin Jernigan who finished his one year term as chair of the nominating committee. Matt Smith, was appointed for a second term as education chair. Cory Lewis, IPTA’s Vice President was recognized as PT of the Year for his organization of the spring meeting, 2010. Greg Sargent was awarded Friend of PT for the Year. Five, 10, 20 and 30 year pins were awarded to those who had been members for these numbers of years. |
SPECIALIST CERTIFICATION!! The
following members were recognized for receiving Specialist Certification in
2010 ö Jennifer Leight, PT, PhD, PCS: Pediatric ö Michael Devitt, PT, MPT, OCS: Orthopaedic ö Kelly Steiger, PT, OCS, SCS: Sports ö Adam Borg, PT, DPT, OCS: Orthopaedic ö Lizabeth Gardner, PT, MHS, PCS: Pediatric ö Brent McMillan, PT, DPT, OCS: Orthopaedic ö Tanya LaPier, PT, PhD, CCS: Cardiovascular and Pulmonary
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Nominations
Sought for J. Perry Silver Award for May 1 is the
deadline for submitting nominations for the J. Perry Silver Award.
Requirements for nominations and application forms are at www.ptidaho.org. Link Here. [The J.Perry Silver
award has not been given the past 2 years] |
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Update
on Over the past year the issue of
sports-related concussions – particularly those seen in student athletes –
has received an increasing amount of national attention, both in the media
and in state legislatures. During the 2010 state legislative sessions,
legislation dealing with sports concussions in student athletes was
introduced in more than a dozen states, and has been enacted in 10 states,
including The legislature finds that
concussions are one of the most commonly reported injuries in children and
adolescents who participate in sports and recreational activities. The
centers for disease control and prevention estimates that as many as three
million eight hundred thousand (3,800,000) sports-related and
recreation-related concussions occur in the Concussions are a type of brain
injury that can range from mild to severe and can disrupt the way the brain
normally works. Concussions can occur in any organized or unorganized sport
or recreational activity and can result from a fall or from players colliding
with each other, the ground, or with obstacles. Concussions occur with or
without loss of consciousness, but the vast majority occur without loss of
consciousness. Continuing to play with a
concussion or symptoms of head injury leaves the young athlete especially
vulnerable to greater injury and even death. The legislature recognizes that,
despite having generally recognized return to play standards for concussion
and head injury, some affected youth athletes are prematurely returned to
play resulting in actual or potential physical injury or death to youth
athletes in the state of (1) The
state board of education shall collaborate with the Idaho high school
activities association to develop guidelines and other pertinent information
and forms to inform and educate coaches, both paid and volunteer, youth
athletes, and their parents and/or guardians of the nature and risk of
concussion and head injury including risks associated with continuing to play
after concussion or head injury. (2) The
guidelines, information and forms described in subsection (1) of this section
shall be developed for and may be used by all organized youth sport
organizations or associations that sponsor, promote or otherwise administer
youth sport organizations or activities in this state. The state board of
education shall make available on its internet website the guidelines,
information and forms provided for in this section. Related
Resources Idaho High
School Activities Association concussion information - http://www.idhsaa.org/concussions/default.asp
A policy brief describing the role of the physical therapist in the evaluation and management of concussion is under development. |
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Concussion Related Materials: |
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Pediatric
PT North American Meeting There were people from 28 states
and one from Over the next few months I will
have a better picture on the result of this hope. I do know that the local
group of pediatric physical therapists who get together monthly, plan to
study as a group as many want to take the specialty certification test. So,
thank you again for your support. I think this effort will help to advance
the quality of pediatric physical therapy practice in the state. |
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