Synergy Care Southeast LLC

NPI #1073852075 in Lake Charles, Louisiana

Provider Information

NPI Number: 1073852075
Entity Type: Organization
Organization Name: Synergy Care Southeast LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 11, 2013
Last Updated: Jul 25, 2013

Practice Location

Address: 127 W BROAD ST
City: Lake Charles
State: Louisiana
ZIP Code: 70601-4291
Phone: (337) 310-8500

Authorized Official

Name: MR. TODD BROUSSARD
Title: CONTROLLER
Phone: (337) 310-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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