Hi otley258. I've been running my physio clinic in New Zealand for 5 years now.
I would probably say - get some business/marketing training. Most of us physios... well, lack business skills and hence make lots of mistakes and struggle to earn a good living. I have a business coach who I have dealt with over the years and it certainly helped me immensely (he is reasonably priced too). There are proven marketing strategies that will make things happen for your business. Let me know if you want me to share his contact details.