In Motion Volume 1 2005

Page 20

LET’S KEEP IN TOUCH

W

e’d like to hear from you and share your news with other alumni in an upcoming issue of USC PT In Motion. Please mail this completed form to: USC Department of Biokinesiology and Physical Therapy, Attn: Sara Villagran, 1540 Alcazar St., CHP 155, Los Angeles, CA 90089-9006 or fax to (323) 442-1515. You may also e-mail your news to villagra@usc.edu. Photos are welcome. FULL NAME: ________________________________________________________________________________ first

middle

last

maiden

DEGREE/YEAR: __________________________________ CHECK HERE IF THIS IS A NEW ADDRESS HOME ADDRESS: ____________________________________________________________________________ CITY/STATE/ZIP: _____________________________________________________________________________ TELEPHONE: __________________________________ E-MAIL ______________________________________ HERE’S MY NEWS : __________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________

USC Department of Biokinesiology and Physical Therapy 1540 Alcazar St., CHP 155 Los Angeles, CA 90089-9006

NON-PROFIT ORGANIZATION U.S. POSTAGE PAID UNIVERSITY OF SOUTHERN CALIFORNIA

James Gordon, EdD, PT Associate Professor and Department Chair

Board of Councilors Kathleen Bice, MS, PT Chair Kate Adamson-Day Blaine Behringer, DPT Jack Close, MA, PT, FAPTA Irene Martinez, MSW Jorge Orozco, PT, NCS Jacquelin Perry, MD Willes Sonnefield, MA, PT Tracy Sykes, DPT John Wallace, Jr., PT, MS, OCS

USC Department of Biokinesiology & Physical Therapy

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Volume 1, 2005

www.usc.edu/pt


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