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Mailing Labels Order Form

MAILING LABELS ORDER FORM

NOTICE: Consistent with APTA position opposing referring physician ownership of physical therapy practices, the OPTA does not knowingly supply mailing labels to clinics and/or facilities which are owned or controlled by referral sources.
Mailing Addresses will be sent by email.
Please check here to acklowlage understanding of our Physician Owned Practices stance.
CHOOSE YOUR DISTRICT
  100.00 Northeast (Cleveland Area)
  100.00 Northwest(Toledo Area)
  100.00 East Central (Akron/Youngstown Area)
  100.00 Central (Columbus/Athens Area)
  100.00 West Central (Dayton Area)
  100.00 Southwest (Cincinnati Area)
Total Cost
Purpose for which labels are ordered:
 
Name
Company
Email
Address
City
State
Zip
Phone
   - denotes required fields