Healthcare Provider Details

I. General information

NPI: 1679156863
Provider Name (Legal Business Name): SYNAPSE NEUROREHAB AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6667 VERNON WOODS DR STE A14
SANDY SPRINGS GA
30328-3236
US

IV. Provider business mailing address

6667 VERNON WOODS DR STE A14
SANDY SPRINGS GA
30328-3236
US

V. Phone/Fax

Practice location:
  • Phone: 864-350-3525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMY MORSE
Title or Position: CO-OWNER
Credential: PT, DPT
Phone: 865-350-3525