Institute Of Professional Practical Therapy

REQUEST MORE INFORMATION

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1835 South La Cienega Blvd. Suite 260 Los Angeles, CA 90035 Phone: (310) 836 - 8811
5650 Vineland Avenue, North Hollywood, CA 91601 Phone: (818) 998- 8995

Fax: (310) 836-8857

Thank you for your interest in IPPT. Please fill out this form completely and one of our school adminstrators wil contact you.

Part I: Your Interest

How soon would you be interested in enrolling?

Location:

What schedule are you interested in:

Which programs are you interested in? (Check all that apply)

Physical Therapy
Aide

Massage
Therapist

Chiropractor
Assistant

Advanced Massage
Courses

Part II: Personal Information

First name:

Last name:

Street address:

City:

State:

Zip/Postal Code:

Phone:

E-mail: