Your Name (mandatory requirement)

Address for Correspondence

Practice Address(s)

(What you wish to have shown on the database)

Telephone Number

Mobile Number

Fax Number

Web Site Address

Please enter the details for your web site database. Up to 100 words (for examples please see the database HERE)

Please type the two words (mandatory requirement)

PLTA Members Therapists Directory Changes Please only  fill in the areas where you wish to have changes made. Your updates will be published once checked by us.