Alabama

Risk of Lymphedema Following Cancer Interventions

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Lymphedema is an abnormal accumulation of protein and water that causes swelling, occurring most frequently in an arm or leg. Cancer interventions often damage portions of the lymphatic system and are the leading cause of lymphedema in the United States. The lymphatic system is a complex system made up of lymphatic fluid, lymph nodes, vessels, collectors, the spleen, and thymus. Its main functions are to drain substances that cannot be absorbed by the vascular system and also plays a role in your immune response.

Surgical procedures such a mastectomy, lumpectomy, or lymph node resection remove or damage lymph nodes in the affected region, decreasing your body’s ability to filter out this lymph fluid. Radiation treatment also poses a threat for lymphatic system damage. Since lymphatic vessels are mere millimeters beneath the surface of the skin, scar tissue formation along radiation treatment areas can impair lymphatic flow through these vessels. These cancer interventions compromise the lymphatic system which significantly increases the risk of developing lymphedema.

According to the Academy of Lymphatic Studies’, 50-75% of patients that have undergone a mastectomy secondary to breast cancer acquire lymphedema within 5 years. Any cancer that requires surgical intervention and/or radiation on or near the neck, armpit, or groin are also at an increased risk of developing lymphedema. Examples include the following: Breast, prostate, uterus, bladder, lymphoma, and melanoma. Although the majority of lymphedema diagnoses are secondary to cancer, lymphedema may also occur secondary a congenital malformation of the lymphatic system (primary lymphedema) or secondary to trauma, infection, malignant tumors, or chronic venous insufficiencies.

Early detection and management of lymphedema is key! Recognizing these early symptoms and talking with your doctor can ensure you receive proper lymphedema treatment and obtain adequate education and tools needed to manage your diagnosis.

Early signs and symptoms of lymphedema include the following and may come and go at first:

Swelling in all or part of the affected region – pressing on the skin with your finger may leave an indentation, which is called pitting edema
Abnormal feeling in the extremity, such as tingling, numbness, tight feeling, heavy felling, or just that something doesn’t feel right
Rings or clothing fitting differently
Veins or tendons harder to distinguish

Regardless of whether lymphedema was caused by cancer interventions or by another source, it is important to know that there are trained therapists nearby that can assist you in understanding your diagnosis. The current gold standard for lymphedema treatment is Complete Decongestive Therapy (CDT) which consists of manual lymphatic drainage (MLD), compression bandage application, decongestive exercises, and skin care. Treatment for lymphedema is available at many Encore Rehab locations. For a complete listing of Encore Rehabilitation clinics, please visit our website at encorerehab.com .

For additional information, please come to one of our free educational meetings held on the 3^rdWednesday of each month on the 2^nd floor of the Neuroscience Center in Ocean Springs, Mississippi (building right next door to the Cancer Center) or contact one of our Encore Rehab clinics.

This article was written by Jaime Garrett, MS, OTR/L for Encore Rehabilitation in Ocean Springs, Mississippi.

Ocean Springs Neurological Vestibular Rehabilitation
3603 Bienville Blvd., Suite 200, Ocean Springs, MS 39564
228-818-1207

Good Hope High School 3rd Annual Weight Meet

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Good Hope High School held their 3rd Annual Weight Meet on March 3, 2018. Teams competing in the meet included Good Hope, Vinemont, Susan Moore, Holly Pond, and Peabody (Tennessee). Congratulations to Good Hope High School who won both the Boys and Girls Divisions! Encore Rehabilitation Athletic Trainers were at the meet providing sports medicine coverage.

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At Encore, we LOVE to see you move!

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Robert McLaurin recovering with Encore Rehabilitation-Citronelle

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Thank you, Robert, for choosing Encore Rehabilitation-Citronelle!

Encore Rehabilitation-Citronelle
19195 North Third Street, Citronelle, Alabama 36522
251-866-0464

Nathan Senior – Athlete of the Month for Encore Rehabilitation – Moulton

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Congratulations to Nathan Senior, Athlete of the Month for Encore Rehabilitation-Moulton!

Nathan is a Senior at East Lawrence High School. As a multi-sport athlete, he participates in Basketball, Cross Country, Baseball, and Golf. He has been awarded All-State Qualifier/Participant in Cross Country and All-County 2nd Team in Basketball.

After graduation, he plans to pursue a degree in Mechanical Engineering. Nathan is the son of Magellan Senior.

We wish you every success, Nathan!

Encore Rehabilitation-Moulton
11186 Alabama Highway 157, Suite B, Moulton, Alabama 35650
256-905-7295

Bailey Preiss – Athlete of the Month for Vinemont High School and Encore Rehabilitation-Cullman

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Way to go, Bailey!

Bailey Preiss has been selected Athlete of the Month for Vinemont High School and Encore Rehabilitation-Cullman, Alabama!

Bailey is a Sophomore and multi-sport athlete. She has participated in Varsity sports for two years on the teams for Cheer (one year as Co-Captain), Basketball, and Track. Her plans after graduation include receiving a college degree and becoming a Massage Therapist.

We wish you all the best, Bailey! Congratulations!

Encore Rehabilitation – Cullman
1701 Main Ave. SW, Suite G, Cullman, Alabama 35055
256-775-3737

Brant Bragwell -Athlete of the Month for Encore Rehabilitation-Russellville

Brant Bragwell has been selected as Athlete of the Month for Encore Rehabilitation-Russellville!

Brant is a Junior at Belgreen High School. He has played Varsity Basketball (#2) for the Bulldogs for four years. Brant is the son of Roger and Robyn Bragwell.

Congratulations, Brant!

AHSAA Basketball Regional Results through Wednesday, Feb 21, 2018

AHSAA Basketball Regionals: All regionals finished but 2A, 3A and 4A at Central which will play on Thursday

BOYS

SOUTH REGIONAL
at Dothan Civic Center
CLASS 1A Semifinals
Linden (12-11) 42, J.F. Shields (13-11) 34
Georgiana (28-3) 86, Houston County (17-9) 75
Finals
Georgiana (29-3) 72, Linden (12-12) 44, Georgiana is South State Qualifier

CLASS 2A Semifinals
St. Luke’s Episcopal (20-8) 50, Abbeville (24-7) 44
Barbour County (21-7) 58, Elba (15-8) 40
Finals
St. Luke’s Episcopal (21-8) 60, Barbour County (22-8) 58 (OT) – St. Luke’s is South State Qualifier

CLASS 3A Semifinals
Hillcrest-Evergreen (21-3) 59, Cottage Hill Christian (21-8) 41
Pike County (16-7) 56, Mobile Christian (19-10) 43
Finals
Hillcrest-Evergreen (22-3) 67, Pike County (16-8) 42, Hillcrest-Evergreen is South State Qualifier

CLASS 4A Semifinal
Andalusia (25-5) 58, UMS-Wright (24-8) 32
Ashford (22-10) 46, Saint James (20-9) 43
Finals
Andalusia (26-5) 56, Ashford (22-11) 44, Andalusia is South State Qualifier

CLASS 5A Semifinals
Faith Academy (24-9) 66, Wilcox Central (22-5) 58
Eufaula (27-9) 74. Charles Henderson (15-8) 59
Finals
Eufaula (28-9) 60, Faith Academy (24-10) 54, Eufaula is South State Qualifier

CLASS 6A Semifinals
Sidney Lanier (12-12) 54, LeFlore 47
Carver-Montgomery (27-7) 77, Russell County (18-8) 51
Finals
Carver-Montgomeery (28-7) 49, Sidney Lanier (12-13) 46, Carver-Montgomery is South State Qualifier

CLASS 7A Semifinals
McGill-Toolen 58, Theodore (10-19) 36
Murphy 65, Baker (19-13) 62
Finals
McGill-Toolen (24-6) 58, Murphy (17-14), McGill-Toolen is South State Qualifier

CENTRAL REGIONAL
at Alabama State U., Dunn-Oliver Acadome
CLASS 1A Semifinals
Cornerstone 65, Ellwood Christian (24-7) 60 (OT)
Wadley 63, Talladega County Central (13-14) 56
Finals
Cornerstone (25-7) 71, Wadley (13-8) 5, Cornerstone is Central State Qualifier

CLASS 2A Semifinals
Aliceville (19-2) 50, Calhoun (15-7) 36
Keith (13-11) 61, Goshen (14-6) 57
Finals
Aliceville (19-2) vs. Keith (13-11), Thursday, Feb. 22, 10:45 a.m.

CLASS 3A Semifinals
American Christian (24-8) 69, Prattville Christian (24-6) 45
Greene County 16-9) 53, Central Coosa (17-5) 45
Finals
American Christian (25-8) vs. Greene County (16-9), Thursday, Feb. 22, 2:15 p.m.

CLASS 4A Semifinals
Greensboro (22-11) 68, Sipsey Valley (13-15) 39
Holt (18-10) 56, Childersburg (20-12) 46
Finals
Greensboro (22-11) vs. Holt (18-10), Thursday, Feb. 22, 5:45 p.m.

CLASS 5A Semifinals
Sylacauga (27-6) 51, B.T. Washington (11-9) 50
Calera (26-4) 59, Central-Tuscaloosa (24-9) 39
Finals
Sylacauga (28-6) 70, Calera (26-5) 65, Sylacauga is Central State Qualifier

CLASS 6A Semifinals
Hillcrest-Tuscaloosa (23-9) 53, Opelika 48
Paul Bryant (28-4) 55, Helena 44
Finals
Paul Bryant (29-4) 53, Hillcrest-Tuscaloosa (23-10) 49, Paul Bryant is Central State Qualifier

CLASS 7A Semifinals
Auburn (16-14) 59, Lee-Montgomery (22-8) 53 (OT)
Central-Phenix City (20-4) 46, Jeff Davis (15-13) 43
Finals
Central-Phenix City (21-4) 62, Auburn (16-15) 36, Central-PC is Central State Qualifier

NORTHEAST REGIONAL
at Jacksonville State U., Pete Mathews Coliseum
CLASS 1A Semifinal Pairings
Sacred Heart (20-10) 74, Cedar Bluff (19-11) 63
Decatur Heritage (28-3) 57, Skyline (24-7) 39
Finals
Sacred Heart (21-10) 60, Decatur Heritage (28-4) 54, Sacred Heart is NE State Qualifier

CLASS 2A Semifinals
Lanett (23-5) 62, Vincent 33
Section 68, LaFayette (18-10) 62 (OT)
Finals
Lanett (24-5) 76, Section (24-7) 52, Lanett is NE State Qualifier

CLASS 3A Semifinals
Piedmont (21-11) 57, Pisgah (20-10) 56
Plainview (31-2) 89, Geraldine (18-9) 55
Finals
Plainview (32-2) 64, Piedmont (21-12) 36, Plainview is NE State Qualifier

CLASS 4A Semifinals
Handley (20-9) 66, North Jackson (13-14) 50
Madison Academy (23-8) 70, Jacksonville (19-9) 34
Finals
Madison Academy (24-8) 67, Handley (20-10) 62, Madison Academy is NE State Qualifier

CLASS 5A Semifinals
Talladega 62, Arab (12-20) 40
Etowah (25-5) 60, Mortimer Jordan (19-13) 40
Finals
Talladega (21-10) 75, Etowah (25-6) 70, Talladega is NE State Qualifier

CLASS 6A Semifinals
Parker (23-8) 66, Pinson Valley (23-11) 46
Oxford (19-11) 85, Albertville (25-5) 67
Finals
Parker (24-8) 60, Oxford (19-12) 49, Parker is NE State Qualifier

CLASS 7A Semifinals
Huffman (25-7) 69, Gadsden City (12-11) 62
Mountain Brook (31-4) 54, Grissom (13-14) 37
Finals
Mountain Brook (32-4) 74, Huffman (25-8) 69, Mountain Brook is NE State Qualifier

NORTHWEST REGIONAL
at Wallace-Hanceville CC, Tom Drake Coliseum
CLASS 1A Semifinals
R.A. Hubbard (26-6) 64, Belgreen (25-6) 51
South Lamar 58, Meek (25-6) 46
Finals
R.A. Hubbard (27-6) 69, South Lamar (20-7) 65, R.A. Hubbard is NW State Qualifer

CLASS 2A Semifinals
Mars Hill Bible (18-8) 62, Red Bay (18-12) 58
Tanner (20-11) 79, Sulligent (18-8) 40
Finals
Tanner (21-11) 73, Mars Hill Bible (20-10) 56, Tanner is NW State Qualifier

CLASS 3A Semifinals
Hanceville 65, Holly Pond (24-3) 59
Lauderdale County (22-9) 59, Elkmont (13-17) 32
Finals
Lauderdale County (23-9) 57, Hanceville (19-9) 53, Lauderdale County is NW State Qualifier

CLASS 4A Semifinals
Cordova (23-9) 49, Haleyville (20-7) 45
Deshler (28-6) 57, Fayette County (10-20) 37
Finals
Cordova (24-9) 56, Deshler (28-7) 48, Cordova is NW State Qualifier

CLASS 5A Semifinals
Wenonah (27-7) 64, Fairview (17-15) 42
Lee-Huntsville (25-12) 73, Pleasant Grove (24-9) 40
Finals
Wenonah (28-7) 59, Lee-Huntsville (25-13) 37, Wenonah is NW State Qualifier

CLASS 6A Semifinals
Austin (17-10) 43, Muscle Shoals (24-5) 38
Hazel Green (20-9) 59, Columbia (23-10) 54
Finals
Hazel Green (22-9) 44, Austin (18-11) 41, Hazel Green is NW State Qualifier

CLASS 7A Semifinals
Sparkman (29-4) 71, Vestavia Hills (20-8) 55
Hoover (27-3) 59, James Clemens (17-14) 54
Finals
Sparkman (30-4) 70, Hoover (27-4), Sparkman is NW State Qualifier

GIRLS

SOUTH REGIONAL
at Dothan Civic Center
CLASS 1A Semifinals
Linden 63, J.F. Shields (18-3) 57
Pleasant Home (25-5) 55, Marengo 31
Finals
Linden 42, Pleasant Home (25-6) 38, Linden is South State Qualifier

CLASS 2A Semifinal
Samson (28-3) 63, Chickasaw (18-4) 31
Abbeville 53, Elba 35
Finals
Samson (29-3) 49, Abbeville (20-9) 19, Samson is South State Qualifier

CLASS 3A Semifinals
T.R. Miller (28-0) 71, Clarke County 47
Hillcrest-Evergreen (12-7) 67, Geneva (23-7) 56
Finals
T.R. Miller (29-0) 52, Hillcrest-Evergreen (12-8) 42, T.R. Miller is South State Qualifier

CLASS 4A Semifinals
Thomasville (13-12) 47, Monroe County (19-10) 39
Saint James (21-8) 36, UMS-Wright (14-14) 13
Finals
Saint James (22-9) 36, Thomasville (13-13) 26, Saint James is South State Qualifier

CLASS 5A Semifinals
Faith Academy (22-7) 44, Jackson (22-8) 40
Charles Henderson (29-4) 58, Eufaula (27-5) 37
Finals
Charles Henderson (30-4) 36, Faith Academy (22-8) 22, Charles Henderson is South State Qualifier

CLASS 6A Semifinals
South Regional
LeFlore (27-1) 54, Sidney Lanier 47
Blount (22-4) 55, Carver-Montgomery 40
Finals
LeFlore (28-1) 63, Blount (22-5) 40, LeFlore is South State Qualifier

CLASS 7A Semifinals
McGill-Toolen 53, Alma Bryant 40
Murphy 44, Davidson 38
Finals
McGill-Toolen (24-6) 42, Murphy (16-13) 35, McGill-Toolen is South State Qualifier

CENTRAL REGIONAL
at Alabama State U., Dunn-Oliver Acadome
CLASS 1A Semifinals
Westminster-Oak Mountain (17-5) 55, Isabella (22-4) 23
Loachapoka 51, Talladega County Central (22-10) 42
Finals
Loachapoka (21-4) 54, Westminster-Oak Mountain (17-6) 38, Loachapoka is Central State Qualifier

CLASS 2A Semifinals
Keith (18-8) 54, Southern Choctaw (14-8) 40
R.C. Hatch (16-8) 62, Central-Hayneville (14-7) 50
Finals
Keith (18-8) vs. R.C. Hatch (16-8), Thursday, Feb. 22, 9 a.m.

CLASS 3A Semifinals
Midfield (26-9) 47, Montevallo (26-6) 44
Central Coosa (18-3) 55, Gordo (15-12) 47
Finals
Midfield (26-9) vs. Central-Coosa (18-3), Thursday, Feb. 22, 12:30 p.m.

CLASS 4A Semifinals
Greensboro (23-6) 71, Holt (14-13) 40
Spisey Valley (27-2) 34, Childersburg (20-10)28
Finals
Greensboro (23-6) vs. Sipsey Valley (27-2), Thursday, Feb. 22, 4 p.m.

CLASS 5A Semifinals
Shelby County (23-7) 74, Marbury 51
Central-Tuscaloosa (25-7) 61, Calera (18-12) 37
Finals
Central-Tuscaloosa (26-7) 55, Shelby County (23-8) 31, Central-Tuscaloosa is Central State Qualifier

CLASS 6A Semifinals
Semifinals
Opelika (21-9) 81, Paul Bryant (12-18) 25
Hillcrest-Tuscaloosa (28-4) 68, Helena 31
Finals
Opelika (22-9) 63, Hillcrest-Tuscaloosa (28-5) 57, Opelika is Central State Qualifier

CLASS 7A Semifinals
Lee-Montgomery (22-9) 59, Central-Phenix City (16-13) 39
Auburn (19-10) 51, Enterprise (16-9) 37,
Finals
Lee-Montgomery (23-9) 44, Auburn (19-11) 36, Lee-Montgomery is Central State Qualifier

NORTHEAST REGIONAL
at Jacksonville State U., Pete Mathews Coliseum
CLASS 1A Semifinals
Spring Garden (27-3) 50, Cedar Bluff (19-13) 26
Skyline 61, Decatur Heritage (18-15) 55
Finals
Spring Garden (28-3) 68, Skyline (24-7) 39, Spring Garden is NE State Qualifier

CLASS 2A Semifinals
Sand Rock (21-8) 65, Section 49
Collinsville (25-7) 45 Fyffe 40
Finals
Sand Rock (22-8) 33, Collinsville (25-8) 30, Sand Rock is NE State Qualifier

CLASS 3A Semifinals
Glencoe (23-8) 65, North Sand Mountain (18-10) 61
Pisgah (27-1) 77, Geraldine 41
Finals
Pisgah (28-1) 80, Glencoe (23-9) 58, Pisgah is NE State Qualifier

CLASS 4A Semifinals
Jacksonville (22-6) 48, Madison County (23-10) 38
Madison Academy (25-7) 52, Hokes Bluff (22-9) 26
Finals
Madison Academy (26-7) 45, Jacksonville (22-7) 31, Madison Academy is NE State Qualifier

CLASS 5A Semifinals
Arab (18-12) 52, Talladega (29-3) 47
Scottsboro (28-3) 70, Alexandria 32
Finals
Scottsboro (29-3) 70, Arab (18-13) 48, Scottsboro is NE State Qualifier

CLASS 6A Semifinals
Ramsay (22-4) 59, Center Point (22-11) 53
Homewood (23-7) 63, Brewer (29-5) 62 (OT)
Finals
Ramsay (23-4) 73, Homewood (23-8) 49, Ramsay is NE State Qualifier

CLASS 7A Semifinals
Huffman (17-15) 61, Hewitt-Trussville (25-4) 56
Spain Park (27-6) 59, Grissom (11-14) 47
Finals
Spain Park (28-6) 61, Huffman (17-16) 39, Spain Park is NW State Qualifier

NORTHWEST REGIONAL
at Wallace-Hanceville CC, Tom Drake Coliseum
CLASS 1A Semifinals
Phillips (27-3) 53, R.A. Hubbard (17-6) 49
Holy Spirit Catholic 58,Belgreen 33
Finals
Phillips (28-3) 57, Holy Spirit Catholic (23-3) 48, Phillips is NW State Qualifier
CLASS 2A Semifinals
Cold Springs 59, Lamar County (18-6) 41
Phil Campbell (24-5) 55, Mars Hill Bible (23-9) 46
Finals
Phil Campbell (25-5) 46, Cold Springs 29, Phil Campbell is NW State Qualifer

CLASS 3A Semifinals
Colbert County (21-6) 80, Carbon Hill 37
Lauderdale County (33-2) 59, West Morgan (22-10) 44
Finals
Lauderdale County (34-2) 60, Colbert County (21-7) 49, Lauderdale County is NW State Qualifier

CLASS 4A Semifinals
Danville 49, Good Hope 39
Deshler (31-2) 61, Priceville 42
Finals
Deshler (32-2) 78, Danville 56, Deshler is NW State Qualifier

CLASS 5A Semifinals
Wenonah (23-7) 54, Fairview 38
Lee-Huntsville 69, Pleasant Grove 47
Finals
Wenonah (24-7) 57, Lee-Huntsville 41, Wenonah is NW State Qualifier

CLASS 6A Semifinals
Minor (16-11) 54, McAdory (24-9) 49
Hazel Green (32-2) 51, Hartselle (25-6) 29
Finals
Hazel Green (33-2) 60, Minor (16-12) 11, Hazel Green is NW State Qualifier

CLASS 7A Semifinals
Sparkman (28-5) 66, Tuscaloosa County (20-12) 53
Hoover (30-1) 53, Buckhorn (17-16) 34
Finals
Sparkman (29-5) 55, Hoover (30-2) 54, Sparkman is NW State Qualifier

For Live Basketball Updates and to see Pairings, go to AHSAA Website, here.

Encore Sports Medicine is proud to be the Official Provider of Athletic Training Services for the Alabama High School Athletic Association

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Want to learn more about our Sports Medicine Program? Visit our website at encorerehab.com or call Gary Barfield, Director of Business Development and Sports Medicine at 404-933-4336.

Rehab worked great!

Dana Dyer Photo Enterprise Revised

Dana Dyer’s doctor referred him to Encore Rehabilitation-Enterprise for physical therapy for his shoulder. Dana says, “The referral was to have therapy to regain my mobility and strength. It’s worked great!”

Dana is well on his way to recovery! Thank you for choosing Encore Rehabilitation-Enterprise!

Encore Rehabilitation-Enterprise
404 North Main Street
Enterprise, Alabama 36330
334-393-7465

Happy and healthy with Encore Rehabilitation-Columbiana

Sherrer Shirey Photo Columbiana

After knee replacement surgery, Sherrer Sherry choose Encore Rehabilitation-Columbiana because the clinic was close to home. Seven weeks later, Sherrer also recommends Encore because of the wonderful care she received!

Sherrer says, “The staff have been extremely helpful both physically and emotionally. They were instrumental in helping me reach goals so that I could return to my normal life. They often were helpful to encourage me on hard days. They offered the right amount of encouragement and push when I needed it. Always friendly and welcoming, I highly recommend this facility and I would recommend it to my friends!”

Thank you, Sherrer, for letting us be part of your journey to better health!

Cindy Stephens, LPTA – Encore Rehabilitation-Providence

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Meet Encore Rehabilitation Physical Therapist Assistant Cindy Stephens!

Cindy is a high energy team member who is enthusiastic about rehabilitation and recovery. Her passion lies in treating patients through all stages of life with individual and personal care. She enjoys the challenges of student athletes as well as helping clients overcome everyday orthopedic ailments both before and after surgery. Cindy provides care at Encore Rehabilitation-Providence in Mobile, Alabama.

Cindy holds an Associate in Applied Science and graduated with honors from Bishop State with a Physical Therapist Assistant degree. She has advanced her education with completing Instrument Assisted Soft Tissue Mobilization Certification. In addition to this she has completed courses in the following areas:

ACL Rehabilitation and Prevention
Concussions in Sports Medicine
Foot Orthotics
UCL Rehab Protocol for Throwing Shoulder Rehab
Kinesiotape/Rocktape Application.

She and her family reside in the Mobile area. Her hobbies include collecting vintage glass and antiques as well as spending time outdoors along the Gulf Coast. She also enjoys attempting outlandish Pinterest projects and participation in Bootcamp classes.

Thanks, Cindy, for the high-quality care you provide!

Encore Rehabilitation – Providence
6701 Airport Blvd., Suite D-234, Mobile, Alabama 36608
251-634-2214