Synergy Care Southeast, LLC

NPI #1447682240 in Lake Charles, Louisiana

Provider Information

NPI Number: 1447682240
Entity Type: Organization
Organization Name: Synergy Care Southeast, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 2, 2013
Last Updated: Aug 2, 2013

Practice Location

Address: 127 W BROAD ST
City: Lake Charles
State: Louisiana
ZIP Code: 70601-4393
Phone: (337) 310-8500

Authorized Official

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

Specialties & Taxonomy Codes

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

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