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Request An Appointment
Performance Physical Therapy log
Call/Text: (401) 726-7100
TELL US YOUR STORY
First Name
Last Name
Email
Age
Describe your injury.
What changed in your life after you were injured and how did physical therapy help you to get your old life back?
If you could offer any advice to someone who also suffers from your injury, what would it be?
Any additional information
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SHARE YOUR STORY
Let us know about your journey in your own words.
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