Name Phone Number
Email Address Diagnosis / Recommendations
PhysiotherapyMassage TherapyNaturopathy / AcupunctureChiropracticOsteopathyAquatic Therapy
MVA Rehabilitation (Motor Vehicle Accident)Pregnancy Pre / Post Natal CarePost Injection RehabActive TherapyArthritis / Early Intervention OAFall PreventionLymphedema TreatmentOsteoporosis / Bone StrengtheningPelvic Floor HealthStroke RehabWSIBConcussion Assessment and ManagementLow Back Pain ProgramSprains and Fractures Program
Doctor's Name CPSC Number
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