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When the fee is reduced due to financial hardship, the client still receives what he or she needs but the therapist must make do with less. In January 2014, the American Board of Internal Medicine changed its certification policies for physicians, adding ongoing maintenance of certification requirements that many physicians see as expensive busywork that distracts them internet options does not work patient care. For those individuals interested in a career in physical therapy, California provides excellent employment and career prospects.

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