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Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks & Recreation, Northwest District Agency Supervisor: Beth Lucas Address: 900 S Randolph Wy, Tucson, AZ 85716 Phone: 520-791-4504 Fax: 520-791-3125 Affiliation Agreement: New, 04/05 Mayo Clinic Scottsdale Agency Supervisor: Carol Graziano, Patty Fantauzzo Address: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8370 (Carol) or 480-301-8370 (Patty) E-mail: [email protected] Affiliation Agreement: New, 07/05 Virginia G. Piper Sports and Fitness Center Agency Supervisor: Jessica Amato, CTRS, Volunteer and Intern Coordinator Address: 5031 E. Washington St., Phoenix, AZ 85034 Phone: 602/386-4285 E-mail: [email protected] Affiliation Agreement: New, 2/12 *CALIFORNIA County of Sacramento, Department of Regional Parks Agency Supervisor: Jenn Wilson, RTC, CTRS Address: PO Box 292640, Sacramento, CA 95829 Phone: 915/381-0247 Fax: 916/381-0209 E-mail: [email protected] Affiliation Agreement: New Agreement, 11/09

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Page 1: Internship Opportunities for Leisure Studies Therapeutic ... · Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks

Internship Opportunities for Leisure Studies

Therapeutic Recreation Internship (169:191)

*ARIZONA

City of Tucson, Parks & Recreation, Northwest District

Agency Supervisor: Beth Lucas

Address: 900 S Randolph Wy, Tucson, AZ 85716

Phone: 520-791-4504

Fax: 520-791-3125

Affiliation Agreement: New, 04/05

Mayo Clinic Scottsdale

Agency Supervisor: Carol Graziano, Patty Fantauzzo

Address: 13400 E Shea Blvd, Scottsdale, AZ 85259

Phone: 480-301-8370 (Carol) or 480-301-8370 (Patty)

E-mail: [email protected]

Affiliation Agreement: New, 07/05

Virginia G. Piper Sports and Fitness Center

Agency Supervisor: Jessica Amato, CTRS, Volunteer and Intern Coordinator

Address: 5031 E. Washington St., Phoenix, AZ 85034

Phone: 602/386-4285

E-mail: [email protected]

Affiliation Agreement: New, 2/12

*CALIFORNIA

County of Sacramento, Department of Regional Parks

Agency Supervisor: Jenn Wilson, RTC, CTRS

Address: PO Box 292640, Sacramento, CA 95829

Phone: 915/381-0247

Fax: 916/381-0209

E-mail: [email protected]

Affiliation Agreement: New Agreement, 11/09

Page 2: Internship Opportunities for Leisure Studies Therapeutic ... · Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks

Lucille Packard Children’s Hospital

Agency Supervisor: Colette Case, MS, CCLS, CTRS, Director Child & Family Life Services

Address: 725 Welch Rd, Palo Alto, CA 94304

Phone: 650-497-8295

Fax: 650-498-2455

E-mail: [email protected]

Affiliation Agreement: New Agreement, 08/11

UCLA, Stewart & Lynda Resnick Neuropsychiatric Hospital (NPH)

Agency Supervisor: Linda Florey, Ph.D., OTR, Chief, Rehabilitation Services

Address: 760 Westwood Plz, Room B7-436, Los Angeles, CA 90095

Phone: N/A

E-mail: N/A

Affiliation Agreement: New Agreement, 05/07

*COLORADO

Adaptive Sports Center

Agency Supervisor: Beth Walker (Summer), Chris Read (Winter)

Address: PO Box 1639, Crested Butte, CO 81224

Phone: 970-349-5075 (Beth), 866-349-2296 or 970-349-2296 (Chris)

Affiliation Agreement: New Agreement, 02/06

Breckenridge Outdoor Education Center

Agency Supervisor: Erin Baird, CTRS

Address: PO Box 697, Breckenridge, CO 80424

Phone: 970-453-0146

Fax: 970-453-3845

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 01/09

The Children's Hospital (Dual Certification Site)

Agency Supervisor: Kathleen Reeves

Address: 1056 E 19th Ave, Denver, CO 80218

Phone: 303-861-6979

Affiliation Agreement: New Agreement, 01/06

Page 3: Internship Opportunities for Leisure Studies Therapeutic ... · Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks

City of Boulder Parks and Recreation Department

Agency Supervisor: Ken Silva, CTRS, Community Outreach, Marketing, and Internship Management

Address: 3198 N Broadway, Boulder, CO 80304

Phone: 303-413-7216

Fax: 303-413-7201

Affiliation Agreement: New Agreement, 11/08

City of Fort Collins, Recreation Division

Agency Supervisor: Renee Lee, CTRS

Address: 214 N Howes, Fort Collins, CO 80521

Phone: 970-224-6027

Fax: 970-416-2100

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 02/07

Craig Hospital

Agency Supervisor: Lori Womeldorff (2/9/05) or Clair Cahow (2/9/05)

Address: 3425 S Clarkson St, Englewood, CO 80113

Phone: 303-789-8583 or 303-789-8341

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 10/10

National Sports Center for the Disabled

Agency Supervisor: S. Bryan Wood, CTRS

Address: PO Box 682, Winter Park, CO 80482

Phone: 970-726-1542

Fax: 303-316-1542

E-mail: [email protected]

Affiliation Agreement: New Agreement, 05/08

Out & About (Division of Imagine!)

Agency Supervisor: Jennifer Boles, CTRS

Address: 1400 Dixon Ave, Lafayette, CO 80026

Phone: 303-962-6489

E-mail: [email protected]

Affiliation Agreement: New Agreement, 05/08

Page 4: Internship Opportunities for Leisure Studies Therapeutic ... · Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks

*FLORIDA

Halifax Health System

Agency Supervisor: Kelly Courington, CTRS

Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114

Phone: 386/254-4080

Fax: 386/947-1764

E-mail: [email protected]

Affiliation Agreement: New Agreement, 01/10

Joe DiMaggio Children's Hospital

Agency Supervisor:

Address: Child Life, 1000 Joe DiMaggio Drive, Hollywood, FL 33021

Phone: 954-987-2020

Fax: 954-967-2518

Affiliation Agreement: New Agreement, 01/05

Northeast Florida State Hospital

Agency Supervisor: Lisa Kay Cox, CTRS, Director of Internship Program Address: 7487 S. State Rd 121, Macclenny, FL 32114 Phone: (904) 259-6211 x 1407 E-mail: [email protected] Affiliation Agreement: New Agreement, 5/12

*GEORGIA

Inner Harbour

Agency Supervisor: Sarah Punschon

Address: 4685 Dorsett Shoals Rd, Douglasville, GA 30135

Phone: N/A

E-mail: N/A

Affiliation Agreement: Renewal Agreement, 05/04

Piedmont Healthcare, Inc. - Center for Rehabilitation Medicine

Agency Supervisor: Dayle Gordon, MS, CTRS, HT

Address: 1968 Peachtree Rd NW, Atlanta, GA 30316

Phone: 404-605-2033

E-mail: [email protected]

Affiliation Agreement: New Agreement, 03/09

Page 5: Internship Opportunities for Leisure Studies Therapeutic ... · Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks

*HAWAII

Aloha Nursing & Rehab Centre

Agency Supervisor: Melissa Applegate, CTRS

Address: 45-545 Kamehameha Hwy, Kaneohe, HI 96744

Phone: 808-247-2220 Ext. 568

Affiliation Agreement: New Agreement, 12/05

*IDAHO

Sun Valley Adaptive Sports

Agency Supervisor: Shauna Smith, CTRS

Address: PO Box 6791, Ketchum, ID 83340

Phone: 208-726-9298, ext. 116

Fax: 208-726-0957

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 03/09

*ILLINOIS

Advocate Lutheran General Hospital

Agency Supervisor: Bruce Campbell

Address: 1775 Dempster St, Park Ridge, IL 60068

Phone: 847-723-2210

Affiliation Agreement: New Agreement, 06/03

Advocate Christ Medical Center

Agency Supervisor: Lisa Boland, Child Life Coordinator

Address: 4440 W 95th St, Oak Lawn, IL 60453

Phone: 708/684-4188

Fax: 319-364-0040

E-mail: [email protected]

Affiliation Agreement: New Agreement, 02/10

Champaign-Urbana Special Recreation

Agency Supervisor: Dawn Schaefer, CTRS, Director

Address: 1311 W Church St, Champaign, IL 61821

Phone: 217/239-1152

E-mail: [email protected]

Affiliation Agreement: New Agreement, 04/10

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Children's Memorial Medical Center

Agency Supervisor: Katie Sliwa, CTRS, CADC

Address: 2300 Children's Plaza, PO Box 10, Chicago, IL 60614-3394

Phone: 773-880-8244

Fax: 773-868-8947

E-mail: [email protected]

Affiliation Agreement: New Agreement, 05/07

Elgin Mental Health Center

Agency Supervisor: Catherine Johnson (7/7/04)

Address: 750 S State St, Elgin, IL 60123

Phone: N/A

E-mail: N/A

Affiliation Agreement: New Agreement, 08/04

Evanston Hospital, North Shore University Health System

Agency Supervisor: Robert Miller, CTRS

Address: 2650 Ridge Ave, Evanston, IL 60201

Phone: 847/570-2845

E-mail: [email protected]

Affiliation Agreement: 05/11

Fox Valley Special Recreation Association

Agency Supervisor: Carolyn Nagle, MPA, CTRS, CPRP

Address: 2121 W Indian Trl, Aurora, IL 60506

Phone: 630-907-1114

Affiliation Agreement: New Agreement, 02/06

Heart of Illinois Special Recreation Association

Agency Supervisor: Sarah Turner

Address: 8727 N Pioneer Rd, Peoria, IL 61614

Phone: N/A

E-mail: N/A

Affiliation Agreement: New Agreement, 05/04

Highland Park Hospital Agency Supervisor: Paula Magura, CTRS Address: 777 Park Ave W, Highland Park, IL 60035 Phone: 847/480-3708 Fax: 847/480-2714 E-mail: [email protected] Affiliation Agreement: New Agreement, 04/10

Page 7: Internship Opportunities for Leisure Studies Therapeutic ... · Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks

Jewish Council for Youth Services

Agency Supervisor: Ashley Wilson

Address: PO Box 297, 26710 W Nippersink Rd, Ingleside, IL 60041

Phone: N/A

E-mail: N/A

Affiliation Agreement: New Agreement, 12/03

Lawrence Hall Youth

Agency Supervisor: Jocelyn Howard

Address: 4833 N Francisco Ave, Chicago, IL 60625

Phone: 773-769-3500

Affiliation Agreement: New Agreement, 04/05

Lincolnway Special Recreation Association

Agency Supervisor: Nancy Martello, CTRS

Address: PO Box 547, 325 S LaGrange, Frankfort, IL 60423

Phone: 815-464-2811

Affiliation Agreement: New Agreement, 04/06

Marianjoy Rehabilitation Hospital & Clinics, Inc.

Agency Supervisor: Tracy Ekstrom, CTRS

Address: 26W171 Roosevelt Rd, Wheaton, IL 60187

Phone: 630/909/6010

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 5/12

Marklund at Mill Creek

Agency Supervisor: Wesley J. Kochan, CTRS

Address: 1 S 450 Wyatt Dr, Geneva, IL 60134

Phone: 630/593-5498

Fax: 630/593-5501

E-mail: [email protected]

Affiliation Agreement: New Agreement, 04/09

North Lake County

Agency Supervisor: Julie Martin

Address: Waukegan Office, 2000 Belvidere St, Waukegan, IL 60085

Phone: 847-360-4760

Affiliation Agreement: New Agreement, 02/05

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Northeast DuPage Special Recreation Association

Agency Supervisor: Jerry Barton, CTRS

Address: 1770 W Centennial Pl, Addison, IL 60601

Phone: 630-620-4500

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 11/08

Northern Illinois Special Recreation Association

Agency Supervisor: Heidi Jenkins, MA, CTRS, Manager of Mental Health and Outreach Services

Address: 820 E Terra Cotta Ave, Ste 125, Crystal Lake, IL 60014

Phone: 815-459-0737

Fax: 815-459-0388

E-mail: [email protected]

Affiliation Agreement: Renewal agreement 10/08

Northern Suburban Special Recreation Association

Agency Supervisor: Mel Robson, CTRS, Superintendent of Recreation

Address: 3105 MacArthur Blvd, Northbrook, IL 60062

Phone: 847-509-9400 x 29

Fax: 847-509-1177

E-mail: [email protected]

Affiliation Agreement: New Agreement, 03/06

Northwest Special Recreation Association

Agency Supervisor: Jayne Finger, CTRS, Superintendent of Recreation

Address: 3000 W Central Rd, Ste 205, Rolling Meadows, IL 60008

Phone: 847-392-2848

Fax: 847-392-2870

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 3/12

Rehabilitation Institute of Chicago Sports

Agency Supervisor: Barbra Aronowski

Address: 710 N Lake Shore Dr, 3rd Fl, Chicago, IL 60611

Phone: 312-238-5011

Affiliation Agreement: New Agreement, 05/06

Page 9: Internship Opportunities for Leisure Studies Therapeutic ... · Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks

The Rehabilitation Institute of Chicago

Agency Supervisor: Jillian Beemer

Address: 345 E Superior St, Chicago, IL 60611

Phone: 312-238-3979

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 04/10

Rockford Park District

Agency Supervisor: Brenda Parrish

Address: 401 S Main St, Ste 108, Rockford, IL 61107-1321

Phone: 815-987-1601

Affiliation Agreement: New Agreement, 03/06

Schwab Rehabilitation Hospital

Agency Supervisor: Kris Balfanz-Vertiz, Director

Address: 1401 S California Blvd, Chicago, IL 60608

Phone: 773/522-5869

Fax: 773/522-6650

E-mail: [email protected]

Affiliation Agreement: New Agreement, 11/09

Shriners Hospitals for Children

Agency Supervisor: Anna Christison, CTRS

Address: 2211 N Oak Park Ave, Chicago, IL 60707

Phone: 773-385-5515

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 10/08

South East Association for Special Parks and Recreation (SEASPAR)

Agency Supervisor: Anne Cosentino, CTRS, CPRP

Address: 4500 Belmont, Downers Grove, IL 60515

Phone: 630-960-7600

E-mail: [email protected]

Affiliation Agreement: New Agreement, 4/12

Page 10: Internship Opportunities for Leisure Studies Therapeutic ... · Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks

South Suburban Special Recreation Association

Agency Supervisor: Carrie Trapp, MA, CTRS

Address: 19910 80th Ave, Tinley Park, IL 60487

Phone: 815-806-0384, ext. 17

Fax: 815-806-0390

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 05/11

Special Recreation Services of Northern Lake County - Waukegan

Agency Supervisor: Julie Martin

Address: 2000 Belvidere St, Waukegan, IL 60085

Phone: 847-360-4760

Fax: 847-662-2577

Affiliation Agreement: New Agreement, 02/05

Trinity Regional Health System

Agency Supervisor: Hillary Milo

Address: 2701 17th St, Rock Island, IL 61201

Phone: 309/779-3142

Fax: 309/779-3141

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 01/11

Warren Special Recreation Association

Agency Supervisor: Susan Markey

Address: 17801 W Washington St, Gurnee, IL 60031

Phone: 847-244-6619

Affiliation Agreement: New Agreement, 02/05

West Suburban Special Recreation Association

Agency Supervisor: Gretchen Dennis, CTRS

Address: 2915 Maple St, Franklin Park, IL 60131

Phone: 847-455-2100

Fax: 847-455-3157

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 03/07

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*IOWA

Camp Courageous of Iowa

Agency Supervisor: Shannon Poe, CTRS, Respite Care/Volunteer Director

Address: PO Box 418, Monticello, IA 52310

Phone: 319-465-5916 ext. 2320

E-mail: [email protected]

Affiliation Agreement: New Agreement, 02/07

Cedar Falls Lutheran Home

Agency Supervisor: Sandy Shankle (5/6/04)

Address: 7511 University Ave, Cedar Falls, IA 50613

Phone: N/A

E-mail: N/A

Affiliation Agreement: New Agreement, 05/04

Cedar Rapids Recreation Department

Agency Supervisor: Rob Wagner (2/9/05)

Address: 2000 Mt Vernon Rd SE, Cedar Rapids, IA 52403

Phone: 319-286-5799

Fax: 319-398-0435

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 02/11

Cedar Rapids Recreation Department Drop In Program

Agency Supervisor: Michelle Rhoades

Address: 2000 Mt Vernon Rd SE, Cedar Rapids, IA 52403

Phone: 319-286-5738

Fax: 319-286-5732

E-mail: [email protected]

Affiliation Agreement: New, 02/11

Chatham Oaks

Agency Supervisor: Sean Bucheit, Recreation Director

Address: 4515 Melrose Ave, Iowa City, IA 52246

Phone: 319-887-2701

Fax: 319-887-9154

E-mail: [email protected]

Affiliation Agreement: New, 03/07

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ChildServe Habilitation Center

Agency Supervisor: Jeff Dirks, CTRS

Address: PO Box 707, Johnston, IA 50131

Phone: 515-270-2205

E-mail: [email protected]

Affiliation Agreement: Renewal, 01/09

Covenant Medical Center

Agency Supervisor: Beth Poster

Address: 3421 W 9th St, Waterloo, IA 50702

Phone: 319-272-7905

Affiliation Agreement: Renewal, 03/05

Ellen Kennedy Living Center (affiliated with Mercy Medical Center, Dubuque)

Agency Supervisor: Lili Peterson, CTRS, Lifestyle Coordinator

Address: 1177 7th St SW, Dyersville, IA 52040

Phone: 563-875-6323 Ext. 101

Fax: 563-875-6268

E-mail: [email protected]

Affiliation Agreement: New, 10/08

Four Oaks, Inc.

Agency Supervisor: Shelley Neyen, CTRS

Address: 5400 Kirkwood Blvd SW, Cedar Rapids, IA 52404

Phone: 319-364-0259, ext. 2048

E-mail: [email protected]

Affiliation Agreement: Renewal, 4/12

Genesis Medical Center

Agency Supervisor: Kelly Sigler, CTRS

Address: 1227 E Rusholme St, Davenport, IA 52803

Phone: 563/421-2915

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 01/11

Halcyon House

Agency Supervisor: Mary Geil, CTRS

Address: 1015 S Iowa Ave, Washington, IA 52353

Phone: 319-653-8317

E-mail: [email protected]

Affiliation Agreement: New Agreement, 02/12

Page 13: Internship Opportunities for Leisure Studies Therapeutic ... · Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks

Iowa City Parks and Recreation

Agency Supervisor: Cindy Coffin

Address: 220 S Gilbert St, Iowa City, IA 52240

Phone: 319-356-5100

Fax: 319-356-5487

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 12/10

Iowa City Rehab and Health Care Center

Agency Supervisor: Jamie Bagan

Address: 3661 Rochester Ave, Iowa City, IA 52245

Phone: 319-351-7460

Fax: 319-354-3428

E-mail: [email protected]

Affiliation Agreement: New Agreement, 04/06

Iowa Health - Des Moines

Agency Supervisor: Pat Junod

Address: 1200 Pleasant St, Des Moines, IA 50309

Phone: 515-241-6741

Fax: 515-241-5203

E-mail: [email protected]

Affiliation Agreement: New Agreement, 09/06

Link Associates

Agency Supervisor: Cristy Jennings, CTRS, Assistant Outreach Director

Address: 4301 NE 14th St, Des Moines, IA 50313

Phone: 515-262-8888 ext. 341

Fax: 515-262-8655

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 11/08

ManorCare Utica Ridge

Agency Supervisor: LuAnn Klein, CTRS

Address: 3800 Commerce Blvd, Davenport, IA 52807

Phone: 563/344-2038

Fax: 319/344-9220

E-mail: [email protected]

Affiliation Agreement: New Agreement, 02/10

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MeadowView & RidgeView (The Views) Memory Care Village

Agency Supervisor:

Address: 3005 F Ave NW, Cedar Rapids, IA 52405

Phone: 319-294-9669

Fax: 319-390-8080

E-mail:

Affiliation Agreement: Renewal Agreement, 04/09

Mental Health Institute

Address: 1200 E Washington St, Mt. Pleasant, IA 52621

Phone: 319-385-6672

Fax: 319-385-8465

Affiliation Agreement: New Agreement, 11/06

Mercy Medical Center

Agency Supervisor: Ellie Koester

Address: 1000 4th St SW, Mason City, IA 50401

Phone: (641)-422-7752

Affiliation Agreement: Renewal Agreement, 09/09

Mercy Medical Center

Agency Supervisor: Stacey Bennett, CTRS

Address: 701 10th St SE, Cedar Rapids, IA 52403

Phone: 319-398-6621

E-mail: [email protected]

Affiliation Agreement: New Agreement, 04/12

Meth-Wick Community

Agency Supervisor: Eryn Cronbaugh, CTRS

Address: 1224 13th St, Cedar Rapids, IA 52405

Phone: 319-363-2402, ext. 620

Fax: 319-363-5033

E-mail: [email protected]

Affiliation Agreement: Renewal agreement, 02/10

Oaknoll Retirement Residence

Agency Supervisor: Lindsey Payton, CTRS

Address: 701 Oaknoll Dr, Iowa City, IA 52246

Phone: 319-466-3050

Fax: 319-351-6772

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 12/10

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On With Life - Ankeny Rehabilitation Center

Agency Supervisor: Kim Reed, CTRS

Address: 715 SW Ankeny Rd, Ankeny, IA 50021

Phone: 515-965-1339

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 10/08

Orchard Place

Agency Supervisor: Amy Payne-Johnson

Address: 925 SW Porter Ave, PO Box 35425, Des Moines, IA 50315

Phone: 515-287-9657

Fax: 515-287-9695

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 01/12

Pathways Adult Day Health Center

Agency Supervisor: Jeff Kellbach (2/9/05)

Address: 817 Pepperwood Ln, Iowa City, IA 52240

Phone: 319-339-6162

Fax: 319-339-6164

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 01/08

SportAbility of Iowa

Agency Supervisor: Sherri Hildebrand, CTRS

Address: 1584 Parview Ct NE, Solon, IA 52333

Phone: 319/855-8916

Fax: 866/672-9889

E-mail: [email protected]

Affiliation Agreement: New Agreement, 05/11

St. Luke's Hospital

Agency Supervisor: Anne Smith

Address: 1026 A Ave NE, (2 East), Cedar Rapids, IA 52402

Phone: 319-369-7541

E-mail: [email protected]

Affiliation Agreement: New Agreement, 11/10

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Tanager Place

Agency Supervisor:

Address: 2309 C St SW, Cedar Rapids, IA 52404

Phone: 319-366-5890

Affiliation Agreement: Renewal Agreement, 06/03

University of Iowa Hospitals & Clinics – Rehabilitative Therapies

Agency Supervisor: Diane Denneny, Administrative Services Specialist

Address: 200 Hawkins Dr, Iowa City, IA 52242

Phone: 319-356-1104

Email: [email protected]

Affiliation Agreement:

VA Central Iowa Health Care System (Des Moines)

Agency Supervisor: Becky Thompson, CTRS

Address: 3600 30th St, Des Moines, IA 50310

Phone: 515/699-5999 ext. 4300

E-mail: [email protected]

Affiliation Agreement: New Agreement, 07/11

VA Central Iowa Health Care System (Knoxville)

Agency Supervisor: Becky Thompson, CTRS

Address: 1555 W Pleasant St, Knoxville, IA 50138

Phone: 641-828-5025

E-mail: [email protected]

Affiliation Agreement: New Agreement, 01/07

Washington County Hospital and Clinics

Agency Supervisor: Barb Cutkomp, Director of Social Services

Address: PO Box 909, Washington, IA 52354

Phone: 319-653-5481

Affiliation Agreement: Renewal Agreement, 03/07

Wesley Acres

Agency Supervisor: Heather Wheeler, CTRS, Resident Life Coordinator

Address: 3520 Grand Ave, Des Moines, IA 50312

Phone: 515-271-6623

Fax: 515-271-6600

E-mail: [email protected]

Affiliation Agreement: New Agreement, 05/12

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Western Home

Agency Supervisor: Judy Staff

Address: 420 E 11th St, Cedar Falls, IA 50613

Phone: 319-277-2141

Affiliation Agreement: New Agreement, 03/05

*MARYLAND

Healthsouth Chesapeake Rehab Hospital

Agency Supervisor: Tonya Vilov, TR Manager

Address: 220 Tilghman Rd, Salisbury, MD 21804

Phone: 410/546-4600

Fax: 410/219-5588 or 410/546-8388

E-mail: [email protected]

Affiliation Agreement: New Agreement, 02/11

The League at Camp Greentop

Agency Supervisor: Kathy Blumke

Address: 111 E Cold Spring Ln, Baltimore, MD 21239

Phone: 410-323-0500, ext. 309

Fax: 410-323-3298

E-mail: [email protected]

Affiliation Agreement: New Agreement, 03/07

National Institutes of Health

Agency Supervisor: Marcia Smith, MA, CTRS, H/FS, Clinical Coordinator/Internship Coordinator

Address: 10 Center Dr, Room 1-1469, MSC 1604, Bethesda, MD 20892

Phone: 301/496-8876

Fax: 301/480-0669

E-mail: [email protected]

Affiliation Agreement: New Agreement, 03/10

*MASSACHUSETTS

Spaulding Rehabilitation Hospital

Agency Supervisor: Sara H. Cruz (2/9/05)

Address: 120 Nashua St, Boston, MA 02114

Phone: 617-573-2906

E-mail: [email protected]

Affiliation Agreement: New Agreement, 11/04

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*MINNESOTA

Abbott Northwestern Hospital (Allina Health System)

Agency Supervisors: Jan Roux, CTRS and Cindy Berlovitz, CTRS

Address: 800 E. 28th Street, Minneapolis, MN 55407-3799

Phone:

E-mail: [email protected] and [email protected]

Affiliation Agreement: New Agreement, 04/10

Albert Lea Good Samaritan Center

Agency Supervisor: Theresa Thorland (4/5/04)

Address: 75507 240th St, Albert Lea, MN 56007

Phone: 507-373-0683

Affiliation Agreement: New Agreement, 02/04

City of Edina, Parks & Recreation

Agency Supervisor: Susie Miller, CTRS

Address: 4801 W 50th, Edina, MN 55424

Phone: 952-826-0433

E-mail: [email protected]

Affiliation Agreement: New Agreement, 04/05

Courage Center

Agency Supervisor: Tom LaMere, MS, CTRS

Address: 3915 Golden Valley Rd, Minneapolis, MN 55422

Phone: 763-520-0245

Fax: 763-520-0388 E-mail: [email protected]

Affiliation Agreement: New Agreement, 04/07

Dakota Communities

Agency Supervisor: Antonia Boelter

Address: 1668 Diane Rd, Mendota Heights, MN 55118

Phone: 651-686-7872

Fax: 651-686-6572

E-mail: [email protected]

Affiliation Agreement: New Agreement, 11/05

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Mayo Clinic

Center Coordinator of Clinical Education: Heidi Dunfee PT, DScPT

Physical Medicine and Rehabilitation

Address: 200 First Street SW, Rochester, MN 55905

Phone: 507-255-7949

Fax: 507-284-3431

E-mail: [email protected]

Affiliation Agreement: New Agreement, 07/12

Shriners Hospitals for Children - Minneapolis, MN

Agency Supervisor: Maureen Johnston, CTRS

Address: 2205 E River Pkwy, Minneapolis, MN 55414

Phone: 612-586-6135

Fax: 612-339-5954

E-mail: [email protected]

Affiliation Agreement: New Agreement, 03/09

Veterans Affairs Medical Center

Agency Supervisor: Katy Ryan

Address: 135R, One Veterans Dr, Minneapolis, MN 55417

Phone: 612-467-3958

Fax: 612-727-5643

E-mail: [email protected]

Affiliation Agreement: New Agreement, 02/06

*MISSOURI

Cox Health

Agency Supervisor: Rhonda Shrewsbury, CTRS

Address: 1423 N Jefferson, Springfield, MO 65802

Phone: 314-830-6104

Fax: 417-269-1585

Email: [email protected]

Affiliation Agreement: Renewal Agreement, 05/12

Crittenton Children’s Center

Agency Supervisor: Michelle Gros, CTRS

Address: 10918 Elm Avenue, Kansas City, MO 64134

Phone:

E-mail: [email protected]

Affiliation Agreement: New Agreement, 01/12

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Marygrove

Agency Supervisor: Andria Bane, CTRS

Address: 2705 Mullanphy Ln, Florissant, MO 63031

Phone: 314-830-6104

Affiliation Agreement: New Agreement, 04/06

Ranken Jordan – A Pediatric Speciality Hospital

Agency Supervisor: Kathleen Sachs, CTRS

Address: 11365 Dorsett Rd, Maryland Heights, MO 63043

Phone: 314/872-6422

E-mail: [email protected]

Affiliation Agreement: New Agreement, 04/11

The Rehabilitation Institute of Kansas City

Agency Supervisor: Corey Wright, CTRS

Address: 3011 Baltimore, Kansas City, MO 64108

Phone: 816-761-7900

Fax: 816-751-7982

E-mail: [email protected]

Affiliation Agreement: New Agreement, 12/07

Shriners Hospital for Children

Agency Supervisor: Kerry Zekert, CTRS, Internship Coordinator

Address: 2001 S Lindbergh Blvd, St. Louis, MO 63131

Phone: 314-432-3600 x1155

Affiliation Agreement:

*NEBRASKA

Alegent Health

Agency Supervisor: Christy Al-Nemah, M.S., CTRS

Address: Psychiatric Associates, 7101 Newport Ave, Omaha, NE 68152

Phone: 402-572-3248

Fax: 402-572-2528

E-mail: [email protected]

Affiliation Agreement: Renewal Agreement, 01/09

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Lincoln Regional Center

Agency Supervisor: Rose Hanzlicek

Address: PO Box 94949, Lincoln, NE 68509

Phone: 402-479-5410

Affiliation Agreement: New Agreement, 06/05

Madonna Rehabilitation Hospital

Agency Supervisor: Linda Ohnoutka

Address: 5401 South St, Lincoln, NE 68506-2134

Phone: 402-483-9554 or 800-676-5448

Fax: 402-483-9494

Affiliation Agreement: New Agreement, 07/05

*NEVADA

Henderson Parks & Recreation

Agency Supervisor: Andrea Edwards

Address: 240 Water St, PO Box 95050, Henderson, NV 89009-5050

Phone: 702-267-4006

E-mail: [email protected]

Affiliation Agreement: New Agreement, 06/05

*NEW JERSEY

Matheny Medical and Educational Center

Agency Supervisor: Sean Bielefeldt, CTRS

Address: PO Box 339, 65 Highland Ave, Peapack, NJ 07977

Phone: 908/234-0011, x262

Fax: 908/719-2137

Affiliation Agreement: 12/08

Weisman Children's Rehabilitation Hospital in Marlton (Dual Certification Program)

Agency Supervisor: Erica Sciolla, CTRS, CCLS

Address: 92 Brick Rd, Marlton, NJ 08053

Phone: 856-489-4520, outside of area 877-543-8774

Affiliation Agreement: New Agreement, 12/05

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*NORTH CAROLINA

Carolinas Rehabilitation

Agency Supervisor: Jennifer Moore, LRT/CTRS

Coordinator, Recreation Therapy/Adaptive Sports & Adventures Program

Address: 1100 Blythe Blvd, Charlotte, NC 28203

Phone: 704-355-1064

Email: [email protected]

Affiliation Agreement: New Agreement, 07/11

University of North Carolina Hospitals

Agency Supervisor: Laurie Reddick, MA, LTS/CTRS, CCLS

Address: 101 Manning Dr, Chapel Hill, NC 27514

Phone: 919-966-2301

Fax: 919-843-0032

Website: http://unchealthcare.org/site/rectherapy/index_html

Affiliation Agreement: New Agreement, 02/09

*OREGON

Portland Parks & Recreation

Agency Supervisor: Debbie Timmins, CTRS, Program Director

Address: 426 NE 12th Ave, Portland, OR 97232

Phone: 503-823-4328

Fax: 503-823-4329

E-mail: [email protected]

Affiliation Agreement: New Agreement, 01/07

*SOUTH CAROLINA

Medical University of South Carolina, Institute of Psychiatry

Agency Supervisor: Bob Raynor, CTRS

Address: 67 President St, Charleston, SC 29403

Phone: 843/792-0083

Fax: 843/792-5582

E-mail: [email protected]

Affiliation Agreement: 04/11

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*TENNESSEE

City of Chattanooga Parks & Recreation

Agency Supervisor: Susan Crisp

Address: 1254 E 3rd St, Chattanooga, TN 37404

Phone: 423-697-1354

Affiliation Agreement: New Agreement, 03/05

*TEXAS

Michael E. DeBakey Veterans Affairs Medical Center

Agency Supervisor: Elizabeth Nealy, CTRS

Address: 2002 Holcombe Blvd, Houston, TX 77030

Phone: 713-791-1414 ext. 3919

Fax: 713-794-8923

E-mail: [email protected]

Affiliation Agreement: New Agreement, 08/05

NeuroRestorative Specialty Services

Agency Supervisor: Jeremy Stoval

Address: 11937 US Hwy 271, Tyler, TX 75708

Phone: 903-877-8702

Affiliation Agreement: New Agreement, 05/05

Remington Medical Resort

Agency Supervisor: Amy Devoe, MS, CTRS

Address: 1350 E Lookout Dr, Richardson, TX 75082

Phone: 972/220-2000

E-mail: [email protected]

Affiliation Agreement: New Agreement, 01/10

University Behavioral Health

Agency Supervisor: Harry Boswell, MA, CTRS, CET

Address: 2026 University Dr, Denton, TX 76201

Phone: 940-320-8156

Fax: 940-384-0307

E-mail: [email protected]

Website: www.ubhdenton.com

Affiliation Agreement: New Agreement, 11/06

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*UTAH

Kostopulos Dream Foundation

Agency Supervisor: Jared Allsop, TRS/CTRS, Program Director & Internship Supervisor

Address: 4180 Emigration Canyon, Salt Lake City, UT 84108

Phone: 801-582-0700 ext. 100

Fax: 801-583-5176

E-mail: [email protected]

Affiliation Agreement: New Agreement, 12/11

National Ability Center in Utah

Agency Supervisor: Meeche White

Address: PO Box 682799, Park City, UT 84068

Phone: 435-649-3991, Ext. 601

Affiliation Agreement: New Agreement, 02/06

*VERMONT

Vermont Adaptive Ski and Sports

Agency Supervisor: Erin Fernandez

Address: PO Box 139, Killington, VT 05751

Phone: 802-786-4991

E-mail: [email protected]

Affiliation Agreement: New Agreement, 08/05

*VIRGINIA

Lake Taylor Transitional Care Hospital

Agency Supervisor: Carrie Puglisi

Address: 1309 Kempsville Rd, Norfolk, VA 23502

Phone: 757-461-5001 Ext. 350

Affiliation Agreement: New Agreement, 04/06

*WASHINGTON

Outdoors for All Foundation

Agency Supervisor: Elizabeth Scriven, CTRS

Address: 2 Nickerson St, Ste 101, Seattle, WA 98109-1652

Phone: 206/838-6030 ext. 209

Fax: 206/838-6035

E-mail: [email protected]

Affiliation Agreement: New Agreement, 03/09

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University of Washington Medical Center

Agency Supervisor: Barbara Beach

Address: Department of Rehabilitation Medicine, PO Box 356490, 1959 NE Pacific St, Seattle, WA 98195

Phone: 206-598-4485

E-mail: [email protected]

Affiliation Agreement: New Agreement, 05/03

*WASHINGTON D.C.

National Rehabilitation Hospital

Agency Supervisor: Joan Joyce

Address: 102 Irving St NW, Washington, DC 20010-2949

Phone: N/A

E-mail: N/A

Affiliation Agreement: New Agreement, 05/04

*WISCONSIN

Froedtert Hospital

Agency Supervisor: Margaret Goldbach, BS, CTRS, CCLS, CEIM

Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226

Phone: (414) 805-3000

E-mail: [email protected]

Affiliation Agreement: New Agreement, 06/08

Saint Joseph’s Children’s Hospital - Ministry Health Care, Inc.

Agency Supervisor: Heidi Giese, BS, CCLS, CTRS, CIMI, Child Life Manager

Address: 611 St. Joseph Ave, Marshfield, WI 54449

Phone: 715/387-7361

Fax: 715/3879-3993

E-mail: [email protected]

Affiliation Agreement: New, 08/10

*WYOMING

Cheyenne VA Medical Center

Agency Supervisor: Kristi Ruben, CTRS, ATRIC

Address: 2360 E Pershing Blvd, Cheyenne, WY 82001

Phone: 307-778-7550

Fax: 307-778-7531

E-mail: [email protected]

Affiliation Agreement: New Agreement, 02/07

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Wyoming State Hospital

Agency Supervisor: Kathy Argyle, CTRS

Address: PO Box 177, Evanston, WY 82931-0177

Phone: 307-789-3464, ext. 468

Fax: 307-789-4592

E-mail: [email protected]

Affiliation Agreement: New Agreement, 06/07