CEULogic Quality CE for Therapy Pros
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The password must have a minimum of 8 characters of numbers and letters, contain at least 1 capital letter
Discipline *
PT
PTA
OT
OTA
ST
SN
Student
MD
Other
License Number *
State and License Number Will show on CE Certificate
State License*
Phone
Your Title *
Your title will show on the CE certificate
Address Line 1*
City*
clinician city
State*
clinician State
Zip Code*
clinician address zip
“I confirm that all the information I have provided in this application is true, accurate, and complete.”
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