ATTACHMENT Q - Room Contents List - Sarasota.pdf

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Q702--Sarasota Outpatient Clinic - Initial Outfitting Transition & Activation (IOTA) Services
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36C77626Q0079
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This is a Room Contents List detailing furnishings and equipment required for a VA Medical Center facility renovation project in Sarasota, Florida. The document specifies the fiscal year 2023 project with a midpoint year of 2025, located at Bay Pines VA Medical Center (Station ID 516) in VISN 8. The project was created in December 2018 with the space plan last edited in December 2023. The list provides detailed inventory requirements organized by department and functional area, including room codes, room names, square footage, and specific equipment needed for each space.

The contents list encompasses multiple clinical and administrative areas including the Outpatient/PACT Clinic (265), Pharmacy Service (268), Physical Medicine and Rehabilitation Clinic (PM&R), and Prosthetics and Sensory AIDS Clinic (11). For the Lobby/Reception Area alone, requirements include multiple workstations with computers, 262 waiting room chairs, 33 bariatric chairs, reception desks with phones, accessible mirrors and grab bars, hand sanitizer and paper towel dispensers, toilets with fixtures, televisions with brackets, and various support furnishings. The PM&R Clinic requires specialized physical therapy equipment such as treadmills with weight bearing systems, stationary ergometers, exercise apparatus, parallel bars, traction tables, treatment rooms with cubicle curtain tracks, ultrasound units, and patient lift systems. The Prosthetics and Sensory AIDS Clinic specifies fitting and exam rooms with overhead lift systems, grinder/polisher equipment for the laboratory workstation, and prosthetic storage facilities. Equipment is coded with acquisition codes and noted as either VA-provided or contractor-provided items, with specific quantities listed for each room.

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ATTACHMENT P - Wage Determination - Sarasota OPC.pdf PDF
ATTACHMENT M - QASP.pdf PDF
ATTACHMENT L - Procurement Package Template and 6500 5.20.2025.pdf PDF
ATTACHMENT G - Room Contents Acq Plan Template 9.21.2023.xlsx XLSX spreadsheet
ATTACHMENT C - Contract Staff Roster.pdf PDF
ATTACHMENT R - Pricing Worksheet - Sarasota OPC.xlsx XLSX spreadsheet
ATTACHMENT O - VSC Security Package 7.15.2025.pdf PDF
ATTACHMENT K - Furniture IDIQ Templates.pdf PDF
ATTACHMENT J - Proposed FTE Report.xlsx XLSX spreadsheet
ATTACHMENT E - Change Management Plan and Log Template.xlsx XLSX spreadsheet
ATTACHMENT N - PDAT Summary - Sarasota.pdf PDF
ATTACHMENT H - Integrated Move Plan Template.xlsx XLSX spreadsheet
ATTACHMENT D - Risk Management Plan and Register Template.xlsx XLSX spreadsheet
ATTACHMENT B - Travel Authorization Request.pdf PDF
ATTACHMENT A - Sarasota OPC - IOTA PWS.pdf PDF
36C77626Q0079_1.docx DOCX document
ATTACHMENT I - Equipment Inventory_ReUse and Disposal Plan Template.xlsx XLSX spreadsheet
ATTACHMENT F - WBS Template.pdf PDF
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Project Room Contents

FY2023 SARASOTA 23-09-29 FINAL (COPIED 06 DEC 2023 02:43PM ET)

RLP COPY

SARASOTA, FL

Projected Year: 2023 Midpoint Year: 2025

VISN: 8 State: FL Station ID: 516 Station: Bay Pines

Installation: VA Medical Center

Project Created: 18 Dec 2018 08:59PM ET by Jason Moseley Space Plan Last Edited: 11 Dec 2023 03:20PM ET by Dickens Precil

Report Generated: 11 Dec 2023 04:31PM ET

Use Or Disclosure Of Data Contained On This Sheet Is Subject To The Restriction On The Title Page Of This Submission Page 1625 of 2260

Project Room Contents (11 Dec 2023 04:31PM ET)

Department Functional Area Room Code Room Name Room Area t

JSN Content Name Acq

Code Qty Content Notes

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA CLSC2 6 - Workstation, Patient Education 30 A1015 Telephone, Desk, Multiple Line VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA CLSC2 8 - Workstation, Patient Education 30 A1015 Telephone, Desk, Multiple Line VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA RCP03 5 - Reception 150 A1015 Telephone, Desk, Multiple Line VV 3

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 A1067 Mirror, Float Glass, ADA Accessible CC 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 A1067 Mirror, Float Glass, ADA Accessible CC 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 A1067 Mirror, Float Glass, ADA Accessible CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 A4995

Table, Diaper Changing, Wall Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 A4995

Table, Diaper Changing, Wall Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 A4995

Table, Diaper Changing, Wall Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 A5075 Dispenser, Soap, Disposable VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 A5075 Dispenser, Soap, Disposable VV 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 A5075 Dispenser, Soap, Disposable VV 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 A5075 Dispenser, Soap, Disposable VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTF03 2 - Waiting, PACT Family 0 A5077

Dispenser, Hand Sanitizer, Hands- Free VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 A5077

Dispenser, Hand Sanitizer, Hands- Free VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 A5080

Dispenser, Paper Towel, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 A5082

Dispenser, Paper Towel, Sensor, Hands Free CC 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 A5082

Dispenser, Paper Towel, Sensor, Hands Free CC 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 A5082

Dispenser, Paper Towel, Sensor, Hands Free CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 A5090

Disposal, Sanitary Napkin, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 A5090

Disposal, Sanitary Napkin, SS, Surface Mounted CC 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 A5109

Grab Bar, ABA Compliant, SS, 2-Wall, W/C Accessible CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 A5109

Grab Bar, ABA Compliant, SS, 2-Wall, W/C Accessible CC 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 A5109

Grab Bar, ABA Compliant, SS, 2-Wall, W/C Accessible CC 4

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 A5145

Hook, Garment, Double, SS, Surface Mounted CC 2

Privacy Act - FOR OFFICAL USE ONLY

Use Or Disclosure Of Data Contained On This Sheet Is Subject To The Restriction On The Title Page Of This Submission Page 1626 of 2260

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 A5200

Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd CC 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 A5200

Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd CC 4

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 A5200

Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 A5212

Bracket, Television, Wall-Mounted, Tilt/Angle VV 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 A5220 Bracket, Television, Wall Backing CC 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 A6046 Artwork, Decorative, With Frame VV 4

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTF03 2 - Waiting, PACT Family 0 A6046 Artwork, Decorative, With Frame VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 C02Q0

Cabinet, Sink, U/C/B, 1 Door, 36x24x22 CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 CB020

Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 CS010

Sink, SS, Single Compartment, 7.5x12x12 ID CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 CT020 Countertop, Solid Surface CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 CT020 Countertop, Solid Surface CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 CT030 Countertop, High Pressure Laminate CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA CLSC2 6 - Workstation, Patient Education 30 E0042

Workcenter, Computer, Free Standing, 48" W VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA CLSC2 8 - Workstation, Patient Education 30 E0042

Workcenter, Computer, Free Standing, 48" W VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA RCP03 5 - Reception 150 E0130

Workstation, Documentation, OR, L- Shaped VV 3

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA RCP03 5 - Reception 150 F0205 Chair, Side With Arms VV 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 F0206 Chair, Side, Bariatric, With Arms VV 33

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTF03 2 - Waiting, PACT Family 0 F0206 Chair, Side, Bariatric, With Arms VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTF03 2 - Waiting, PACT Family 0 F0215 Chair, Child's VV 4

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA RCP03 5 - Reception 150 F0275 Chair, Swivel, High Back VV 3

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA CLSC2 6 - Workstation, Patient Education 30 F0280 Chair, Swivel, Low Back VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA CLSC2 8 - Workstation, Patient Education 30 F0280 Chair, Swivel, Low Back VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 F0305 Chair, Waiting Room, Single VV 262

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTF03 2 - Waiting, PACT Family 0 F0305 Chair, Waiting Room, Single VV 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA RCP03 5 - Reception 150 F0421 Pedestal File, Mobile VV 3

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTF03 2 - Waiting, PACT Family 0 F0760 Table, Child's VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA CLSC2 6 - Workstation, Patient Education 30 F2000 Basket, Wastepaper, Fire Resistant VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA CLSC2 8 - Workstation, Patient Education 30 F2000 Basket, Wastepaper, Fire Resistant VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA RCP03 5 - Reception 150 F2000 Basket, Wastepaper, Fire Resistant VV 3

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 F2000 Basket, Wastepaper, Fire Resistant VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 F2000 Basket, Wastepaper, Fire Resistant VV 1

Privacy Act - FOR OFFICAL USE ONLY

Use Or Disclosure Of Data Contained On This Sheet Is Subject To The Restriction On The Title Page Of This Submission Page 1627 of 2260

1 - LOBBY / RECEPTION

AREA WTF03 2 - Waiting, PACT Family 0 F2000 Basket, Wastepaper, Fire Resistant VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 F2010 Basket, Wastepaper, Step-On VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 F2015

Basket, Wastepaper, Metal/Plastic,2 Swinging Doors VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 F2015

Basket, Wastepaper, Metal/Plastic,2 Swinging Doors VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 F2300 Rack, Magazine, Wall Mounted VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTF03 2 - Waiting, PACT Family 0 F2300 Rack, Magazine, Wall Mounted VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 F3050 Whiteboard, Dry Erase CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 F3200 Clock, Battery, 12" Diameter VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA RCP03 5 - Reception 150 F3200 Clock, Battery, 12" Diameter VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTF03 2 - Waiting, PACT Family 0 F3200 Clock, Battery, 12" Diameter VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 K1552

Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 M0512 Television, HDTV, Large Screen, 60" VV 4

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA CLSC2 6 - Workstation, Patient Education 30 M1801

Computer, Microprocessing, w/Flat Panel Monitor VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA CLSC2 8 - Workstation, Patient Education 30 M1801

Computer, Microprocessing, w/Flat Panel Monitor VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA RCP03 5 - Reception 150 M1801

Computer, Microprocessing, w/Flat Panel Monitor VV 3

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA RCP03 5 - Reception 150 M1840 Printer/Copier/Fax Combination VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SRLW1 1 - Alcove, Wheelchair 60 M4705

Wheelchair, Patient Transport, Folding VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SRLW1 11 - Alcove, Wheelchair 60 M4705

Wheelchair, Patient Transport, Folding VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SRLW1 11 - Alcove, Wheelchair 60 M4710

Wheelchair, Patient, Bariatric, Transport, Folding VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SRLW1 1 - Alcove, Wheelchair 60 M4710

Wheelchair, Patient, Bariatric, Transport, Folding VV 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA WTPC3 4 - Waiting, PACT 3 6485 M7651

Defibrillator, External, Automated

(AED) CC 2

Exact location TBD during Design

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA NCWD4 3 - Alcove, Volunteer 120 M7651

Defibrillator, External, Automated

(AED) CC 1

Exact location TBD during Design

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 P3000

Lavatory, Vitreous China, Straight Back CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 P3070

Lavatory, Vitreous China, Under or Counter Top Mtd CC 2

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 P3070

Lavatory, Vitreous China, Under or Counter Top Mtd CC 3

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 P8150 Urinal, Wall Hung CC 3

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB183

9 - Male Four-Stall Non-Patient Multi- User Toilet, Bldg Sprt 0 P9050 Toilet, Wall Hung, Siphon Jet CC 4

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA TNPFM 7 - Toilet, Family 0 P9050 Toilet, Wall Hung, Siphon Jet CC 1

1 - OUTPATIENT / PACT CLINIC (265)

1 - LOBBY / RECEPTION

AREA SB177

10 - Female Four-Stall Non-Patient Multi-User Toilet, Bldg Sprt 0 P9051 Toilet, Floor Mounted, Siphon Jet CC 2

2 - PHARMACY SERVICE (268)

(COPIED 30 MAR 2023 02:43PM ET)

1 - OUTPATIENT PHARMACY

PUBLIC AREA SB003

1 - Phrm Svc OP General Waiting, Bldg Sprt 310 A5077

Dispenser, Hand Sanitizer, Hands- Free VV 1

2 - PHARMACY SERVICE (268)

(COPIED 30 MAR 2023 02:43PM ET)

1 - OUTPATIENT PHARMACY

PUBLIC AREA SB003

1 - Phrm Svc OP General Waiting, Bldg Sprt 310 A6046 Artwork, Decorative, With Frame VV 1

2 - PHARMACY SERVICE (268)

(COPIED 30 MAR 2023 02:43PM ET)

1 - OUTPATIENT PHARMACY

PUBLIC AREA SB003

1 - Phrm Svc OP General Waiting, Bldg Sprt 310 F0206 Chair, Side, Bariatric, With Arms VV 2

Privacy Act - FOR OFFICAL USE ONLY

Use Or Disclosure Of Data Contained On This Sheet Is Subject To The Restriction On The Title Page Of This Submission Page 1628 of 2260

2 - PHARMACY SERVICE (268)

(COPIED 30 MAR 2023 02:43PM ET)

1 - OUTPATIENT PHARMACY

PUBLIC AREA SB003

1 - Phrm Svc OP General Waiting, Bldg Sprt 310 F0305 Chair, Waiting Room, Single VV 12

2 - PHARMACY SERVICE (268)

(COPIED 30 MAR 2023 02:43PM ET)

1 - OUTPATIENT PHARMACY

PUBLIC AREA SB003

1 - Phrm Svc OP General Waiting, Bldg Sprt 310 F2000 Basket, Wastepaper, Fire Resistant VV 1

2 - PHARMACY SERVICE (268)

(COPIED 30 MAR 2023 02:43PM ET)

1 - OUTPATIENT PHARMACY

PUBLIC AREA SB003

1 - Phrm Svc OP General Waiting, Bldg Sprt 310 F2300 Rack, Magazine, Wall Mounted VV 1

2 - PHARMACY SERVICE (268)

(COPIED 30 MAR 2023 02:43PM ET)

1 - OUTPATIENT PHARMACY

PUBLIC AREA SB003

1 - Phrm Svc OP General Waiting, Bldg Sprt 310 F3200 Clock, Battery, 12" Diameter VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB743 13 - Soiled Utility Room 60 A1012 Telephone, Wall Mounted, 1 Line VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 A1014

Telephone, Wall Mounted, 1 Line, With Speaker VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 A1014

Telephone, Wall Mounted, 1 Line, With Speaker VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 2 - Treatment Room 125 A1014

Telephone, Wall Mounted, 1 Line, With Speaker VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 17 - Treatment Room 100 A1014

Telephone, Wall Mounted, 1 Line, With Speaker VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 18 - Treatment Room 100 A1014

Telephone, Wall Mounted, 1 Line, With Speaker VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 19 - Treatment Room 100 A1014

Telephone, Wall Mounted, 1 Line, With Speaker VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 6 - Treatment Room 125 A1014

Telephone, Wall Mounted, 1 Line, With Speaker VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 7 - Treatment Room 125 A1014

Telephone, Wall Mounted, 1 Line, With Speaker VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 8 - Treatment Room 125 A1014

Telephone, Wall Mounted, 1 Line, With Speaker VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 A1015 Telephone, Desk, Multiple Line VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SC183 11 - Reception, check in/out 85 A1015 Telephone, Desk, Multiple Line VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS215 10 - CC: Chiropractor Workstation 56 A1015 Telephone, Desk, Multiple Line VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 A1016 Telephone, Desk, With Speaker VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 A1020 Telephone, Conferencing System VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC TPG01 5 - Toilet, PM&R Patient 60 A1067 Mirror, Float Glass, ADA Accessible CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 A1080 Mirror, Posture, Wall Mounted CC 4

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 A1080 Mirror, Posture, Wall Mounted CC 4

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 A1203 Lift System, Overhead, Bariatric VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 A5075 Dispenser, Soap, Disposable VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB743 13 - Soiled Utility Room 60 A5075 Dispenser, Soap, Disposable VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 A5075 Dispenser, Soap, Disposable VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 A5075 Dispenser, Soap, Disposable VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 A5075 Dispenser, Soap, Disposable VV 1

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10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC TPG01 5 - Toilet, PM&R Patient 60 A5075 Dispenser, Soap, Disposable VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB743 13 - Soiled Utility Room 60 A5077

Dispenser, Hand Sanitizer, Hands- Free VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 A5077

Dispenser, Hand Sanitizer, Hands- Free VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 A5080

Dispenser, Paper Towel, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 A5080

Dispenser, Paper Towel, SS, Surface Mounted CC 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 A5080

Dispenser, Paper Towel, SS, Surface Mounted CC 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 A5080

Dispenser, Paper Towel, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB743 13 - Soiled Utility Room 60 A5080

Dispenser, Paper Towel, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC TPG01 5 - Toilet, PM&R Patient 60 A5082

Dispenser, Paper Towel, Sensor, Hands Free CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC TPG01 5 - Toilet, PM&R Patient 60 A5090

Disposal, Sanitary Napkin, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB743 13 - Soiled Utility Room 60 A5106

Waste Disposal Unit, Sharps w/Glove Dispenser VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 A5106

Waste Disposal Unit, Sharps w/Glove Dispenser VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 2 - Treatment Room 125 A5106

Waste Disposal Unit, Sharps w/Glove Dispenser VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 17 - Treatment Room 100 A5106

Waste Disposal Unit, Sharps w/Glove Dispenser VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 18 - Treatment Room 100 A5106

Waste Disposal Unit, Sharps w/Glove Dispenser VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 19 - Treatment Room 100 A5106

Waste Disposal Unit, Sharps w/Glove Dispenser VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 6 - Treatment Room 125 A5106

Waste Disposal Unit, Sharps w/Glove Dispenser VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 7 - Treatment Room 125 A5106

Waste Disposal Unit, Sharps w/Glove Dispenser VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 8 - Treatment Room 125 A5106

Waste Disposal Unit, Sharps w/Glove Dispenser VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC TPG01 5 - Toilet, PM&R Patient 60 A5109

Grab Bar, ABA Compliant, SS, 2-Wall, W/C Accessible CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 A5109

Grab Bar, ABA Compliant, SS, 2-Wall, W/C Accessible CC 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 A5110

Grab Bar, 1-1/4" Dia., SS, 2 Wall, Shower Use CC 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 2 - Treatment Room 125 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 17 - Treatment Room 100 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 18 - Treatment Room 100 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 19 - Treatment Room 100 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 6 - Treatment Room 125 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

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10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 7 - Treatment Room 125 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 8 - Treatment Room 125 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC TPG01 5 - Toilet, PM&R Patient 60 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 A5145

Hook, Garment, Double, SS, Surface Mounted CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 8 - Treatment Room 125 A5180

Track, Cubicle, Surface Mounted, With Curtain VC 10

VA provides curtains

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 6 - Treatment Room 125 A5180

Track, Cubicle, Surface Mounted, With Curtain VC 10

VA provides curtains

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 7 - Treatment Room 125 A5180

Track, Cubicle, Surface Mounted, With Curtain VC 10

VA provides curtains

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 18 - Treatment Room 100 A5180

Track, Cubicle, Surface Mounted, With Curtain VC 10

VA provides curtains

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 19 - Treatment Room 100 A5180

Track, Cubicle, Surface Mounted, With Curtain VC 10

VA provides curtains

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 2 - Treatment Room 125 A5180

Track, Cubicle, Surface Mounted, With Curtain VC 10

VA provides curtains

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 17 - Treatment Room 100 A5180

Track, Cubicle, Surface Mounted, With Curtain VC 10

VA provides curtains

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 A5195

Dispenser, Toilet Tissue, SS, 1-Roll, Surface MNTD CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC TPG01 5 - Toilet, PM&R Patient 60 A5200

Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 A5212

Bracket, Television, Wall-Mounted, Tilt/Angle VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 A5220 Bracket, Television, Wall Backing CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 A5225

Bracket, Dual Computer Monitor, Desk-Mounted VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SC183 11 - Reception, check in/out 85 A5225

Bracket, Dual Computer Monitor, Desk-Mounted VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS215 10 - CC: Chiropractor Workstation 56 A5225

Bracket, Dual Computer Monitor, Desk-Mounted VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SC183 11 - Reception, check in/out 85 A6105 Counter, Reception Control, Built-In CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB743 13 - Soiled Utility Room 60 C04F0

Cabinet, U/C/B, 1 Shelf, 2 Half DR, 2 DO, 36x36x22 CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 C04P0

Cabinet, Sink, U/C/B, 2 Door, 36x36x22 CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 C04P0

Cabinet, Sink, U/C/B, 2 Door, 36x36x22 CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB743 13 - Soiled Utility Room 60 C05P0

Cabinet, Sink, U/C/B, 2 Door, 36x48x22 CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB743 13 - Soiled Utility Room 60 CS200

Sink, SS, Single Compartment, 12x28x16 ID CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 CT025

Countertop, Solid Surface with Sink Combination CC 2

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10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 CT025

Countertop, Solid Surface with Sink Combination CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 CT025

Countertop, Solid Surface with Sink Combination CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 CT030 Countertop, High Pressure Laminate CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 CT030 Countertop, High Pressure Laminate CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB743 13 - Soiled Utility Room 60 CT050 Countertop, Stainless Steel CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 E0042

Workcenter, Computer, Free Standing, 48" W VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 E0090

Workstation, L-Shaped, Free Standing, 72x72 VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS215 10 - CC: Chiropractor Workstation 56 E0120

Workstation, Straight, Free Standing, 60" W VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB737 12 - Clean Utility Room. 60 E0906

Locker, Supply, General, Wall Mtd, 23"W x 20"D VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB737 12 - Clean Utility Room. 60 E0912 Locker, Supply, Med Surg, Wall Mtd VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 E0948

Cart, General Storage, Mobile, 42"H x 32"W x 22"D VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 2 - Treatment Room 125 E0948

Cart, General Storage, Mobile, 42"H x 32"W x 22"D VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 17 - Treatment Room 100 E0948

Cart, General Storage, Mobile, 42"H x 32"W x 22"D VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 18 - Treatment Room 100 E0948

Cart, General Storage, Mobile, 42"H x 32"W x 22"D VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 19 - Treatment Room 100 E0948

Cart, General Storage, Mobile, 42"H x 32"W x 22"D VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 6 - Treatment Room 125 E0948

Cart, General Storage, Mobile, 42"H x 32"W x 22"D VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 7 - Treatment Room 125 E0948

Cart, General Storage, Mobile, 42"H x 32"W x 22"D VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 8 - Treatment Room 125 E0948

Cart, General Storage, Mobile, 42"H x 32"W x 22"D VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 E0948

Cart, General Storage, Mobile, 42"H x 32"W x 22"D VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB737 12 - Clean Utility Room. 60 E1500 Rail, MOD, W/MNTD, HX144XD VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 F0205 Chair, Side With Arms VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 F0220 Chair, Conference VV 8

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 F0275 Chair, Swivel, High Back VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SC183 11 - Reception, check in/out 85 F0275 Chair, Swivel, High Back VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS215 10 - CC: Chiropractor Workstation 56 F0275 Chair, Swivel, High Back VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 F0295 Chair, Stacking VV 4

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 F0295 Chair, Stacking VV 4

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 2 - Treatment Room 125 F0340 Stool, Self Adjusting VV 1

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10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 17 - Treatment Room 100 F0340 Stool, Self Adjusting VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 18 - Treatment Room 100 F0340 Stool, Self Adjusting VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 19 - Treatment Room 100 F0340 Stool, Self Adjusting VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 6 - Treatment Room 125 F0340 Stool, Self Adjusting VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 7 - Treatment Room 125 F0340 Stool, Self Adjusting VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 8 - Treatment Room 125 F0340 Stool, Self Adjusting VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 7 - Treatment Room 125 F0355 Footstool, Straight VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 8 - Treatment Room 125 F0355 Footstool, Straight VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 19 - Treatment Room 100 F0355 Footstool, Straight VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 6 - Treatment Room 125 F0355 Footstool, Straight VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 17 - Treatment Room 100 F0355 Footstool, Straight VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 18 - Treatment Room 100 F0355 Footstool, Straight VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 2 - Treatment Room 125 F0355 Footstool, Straight VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 F0420 Cabinet, Filing, Lateral, Half Height VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS215 10 - CC: Chiropractor Workstation 56 F0420 Cabinet, Filing, Lateral, Half Height VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 F0465 Cabinet, Storage, 2 Door, 5 Shelf VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 F0465 Cabinet, Storage, 2 Door, 5 Shelf VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 F0700 Table, Computer, Medium Size VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 F0765 Table, Folding / Nesting VV 4

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 F2000 Basket, Wastepaper, Fire Resistant VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 F2000 Basket, Wastepaper, Fire Resistant VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 F2000 Basket, Wastepaper, Fire Resistant VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 F2000 Basket, Wastepaper, Fire Resistant VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 F2000 Basket, Wastepaper, Fire Resistant VV 2

Privacy Act - FOR OFFICAL USE ONLY

Use Or Disclosure Of Data Contained On This Sheet Is Subject To The Restriction On The Title Page Of This Submission Page 1633 of 2260

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB737 12 - Clean Utility Room. 60 F2000 Basket, Wastepaper, Fire Resistant VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SC183 11 - Reception, check in/out 85 F2000 Basket, Wastepaper, Fire Resistant VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 F2000 Basket, Wastepaper, Fire Resistant VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS215 10 - CC: Chiropractor Workstation 56 F2000 Basket, Wastepaper, Fire Resistant VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC TPG01 5 - Toilet, PM&R Patient 60 F2010 Basket, Wastepaper, Step-On VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SB743 13 - Soiled Utility Room 60 F2020 Can, Trash, 44 Gallon VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 F3200 Clock, Battery, 12" Diameter VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 F3200 Clock, Battery, 12" Diameter VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 F3200 Clock, Battery, 12" Diameter VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 F3200 Clock, Battery, 12" Diameter VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 F3200 Clock, Battery, 12" Diameter VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 G0144 Ergometer, Recumbent Stepper VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 G0144 Ergometer, Recumbent Stepper VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 G1007 Ergometer, Stationary, Stair VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 G1007 Ergometer, Stationary, Stair VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 G1026

Exercise Apparatus, Weight Training, Multi-Station VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 G1026

Exercise Apparatus, Weight Training, Multi-Station VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 G1037 Weight Set, Exercise, Dumbbell VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 G1037 Weight Set, Exercise, Dumbbell VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 G1040 Rack, Dumbbell VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 G1040 Rack, Dumbbell VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 G1043

Ergometer, Recumbent Bicycle, Computer Assisted VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 G1043

Ergometer, Recumbent Bicycle, Computer Assisted VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 K2515 Dishwasher, Household CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 K2515 Dishwasher, Household CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 K3402

Oven, Microwave, Over-the- Range w/ Hood CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 K3402

Oven, Microwave, Over-the- Range w/ Hood CC 1

Privacy Act - FOR OFFICAL USE ONLY

Use Or Disclosure Of Data Contained On This Sheet Is Subject To The Restriction On The Title Page Of This Submission Page 1634 of 2260

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 K4500

Stove, Household, 4 Burner, w/Oven, Electric CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 K4500

Stove, Household, 4 Burner, w/Oven, Electric CC 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 K4665 Oven, Microwave, Consumer VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 K4665 Oven, Microwave, Consumer VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 M0507 Video Teleconferencing System VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 M0512 Television, HDTV, Large Screen, 60" VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 M1800 Monitor, Computer VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS215 10 - CC: Chiropractor Workstation 56 M1800 Monitor, Computer VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SC183 11 - Reception, check in/out 85 M1800 Monitor, Computer VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 M1801

Computer, Microprocessing, w/Flat Panel Monitor VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC OFA09 3 - Office, Therapist 100 M1801

Computer, Microprocessing, w/Flat Panel Monitor VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS215 10 - CC: Chiropractor Workstation 56 M1801

Computer, Microprocessing, w/Flat Panel Monitor VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SC183 11 - Reception, check in/out 85 M1801

Computer, Microprocessing, w/Flat Panel Monitor VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SS291 14 - Team Room 240 M1801

Computer, Microprocessing, w/Flat Panel Monitor VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 M1803

Workstation, Computer, Wall Mounted, Adjustable VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC SRE01 4 - Storage, Equipment 400 M2055

Shelving, Storage, Wire, CRS, w/Adjustable Shelves VV 4

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 M2100 Cart, Shelving, Storage, Mobile, SS VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT111 15 - OT ADL Kitchen, PMR Svc 0 M2100 Cart, Shelving, Storage, Mobile, SS VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 M2100 Cart, Shelving, Storage, Mobile, SS VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT112 16 - OT ADL Bathroom, PMR Svc 180 M3070 Hamper, Linen, Mobile, w/Lid VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 M4100

Sphygmomanometer, Aneroid, Wall Mounted VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 M4100

Sphygmomanometer, Aneroid, Wall Mounted VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 M8075 Lift, Patient, Physical Therapy VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 M8075 Lift, Patient, Physical Therapy VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 M8115 Conditioner, Cold Treatment Pack VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 M8115 Conditioner, Cold Treatment Pack VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 M8120 Therapy Unit, Hydroculator VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 M8120 Therapy Unit, Hydroculator VV 1

Privacy Act - FOR OFFICAL USE ONLY

Use Or Disclosure Of Data Contained On This Sheet Is Subject To The Restriction On The Title Page Of This Submission Page 1635 of 2260

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 M8125 Ergometer, Bicycle, Stationary VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 M8125 Ergometer, Bicycle, Stationary VV 2

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 M8174

Ultrasound/Neuromuscular Stimulation Combo Unit VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 2 - Treatment Room 125 M8174

Ultrasound/Neuromuscular Stimulation Combo Unit VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 17 - Treatment Room 100 M8174

Ultrasound/Neuromuscular Stimulation Combo Unit VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 18 - Treatment Room 100 M8174

Ultrasound/Neuromuscular Stimulation Combo Unit VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 19 - Treatment Room 100 M8174

Ultrasound/Neuromuscular Stimulation Combo Unit VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 6 - Treatment Room 125 M8174

Ultrasound/Neuromuscular Stimulation Combo Unit VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 7 - Treatment Room 125 M8174

Ultrasound/Neuromuscular Stimulation Combo Unit VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTTC1 8 - Treatment Room 125 M8174

Ultrasound/Neuromuscular Stimulation Combo Unit VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 M8174

Ultrasound/Neuromuscular Stimulation Combo Unit VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC PTEA1 1 - Treatment Exercise Area 1100 M8210

Cart, Weight, Physical Therapy, w/Weights VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 M8210

Cart, Weight, Physical Therapy, w/Weights VV 1

1 - OUTPATIENT / PACT CLINIC (265)

10 - PHYSICAL MEDICINE

AND REHABILITATION

(PM&R) CLINIC CT232 9 - Mat Platform Area 200 M8240 Parallel Bars,…

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