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First Name
Last Name
Work email
Phone number
Extension
Company
Setting
Athletics
Private Practice
School (K-12)
Staffing
University (Non Athletic)
Hospital
Health System
Skilled Nursing Facility
Assisted Living Facility
Independent Living
Memory Care
Contract Therapy
Home Health Agency
Hospice
Private Duty Home Care
Surgery Center
Payor
Other
Explain your setting
State
Alabama
Alaska
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District Of Columbia
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Ohio
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Role
Administrative
Billing
C-Suite/VP
Director
HR
IT
Operations
Procurement
Staff Clinician
Student
Supervisor/Manager
Other
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