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Please download and fill out the registration form. Return it to the following email address together with a copy of your PT license. I will contact you as soon as possible. Payment options include bank transfer, check by mail, ACH transfer, or PayPal. Please indicate your preferred payment method in the ‘question’ box.

Email: avis@spinelinerehab.com

Phone: 1-630-828-3824

fax: 1-844-364-8539