APPLICATION REQUEST

 

 

 

>>>Click Here to Fill Out Your Application Now<<<

 

Please fill in all fields. Then DOWNLOAD the application to your computer.  Email it back as an attachment along with your current professional license or certification to:

Info@DiastasisRehab.Com

 

 

If you have questions and would like to speak to us personally, please feel free to call us at 212-388-1308.

The next step after filling out your application is setting up a skype session with me. I look forward to meeting  and working with you.

Julie Tupler, RN