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Email:
Cindy@molinapt.com
Phone:
(303) 900-2282
Thank you, for your interest!
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Name
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Your Ideal Day For An Appointment
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Monday
Tuesday
Wednesday
Thursday
Friday
Your Ideal Time (We're Open 7am - 7pm)
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Where Does It Hurt?
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What Does It Stop You From Doing?
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How Long Have You Had Pain
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Haven't - This Is Prevention
A Few Days
1-2 Weeks
2-4 Weeks
1-3 Months
4+ Months
Years
What Is Your Main Concern To Be Considering Physical Therapy?
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What Do You Value Most When Deciding On A Physical Therapist?
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Natural Treatments - Avoids Medications Or Pain Killers
Hands On Care - Manual Therapy, Massage, Myofacial Release, .etc
One On One Care
Home Exercises & Self Treatment To Speed Up Your Recovery
Ability To Limit The Chance That Pain Will Return Anytime Soon.
Main Goal Of Using Our Service
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Best Time For A Call Back
Daytime
After 5pm
Anytime
Phone Number
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