MEDICARE: SYNERGY PHYSICAL THERAPY AND REHABILITATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		PA

General Provider Information

NPI Number	:	1215220470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY PHYSICAL THERAPY AND REHABILITATION LLC

Provider Business Mailing Address
First Line	:	1401 CHESTER PIKE
Second Line	:
City	:	EDDYSTONE
State	:	PA
Zip	:	19022-1336
Country	:	US
Telephone Number	:	866-557-9430
Fax Number	:	866-557-9431

Provider Business Practice Location Address
First Line	:	1401 CHESTER PIKE
Second Line	:
City	:	EDDYSTONE
State	:	PA
Zip	:	19022-1336
Country	:	US
Telephone Number	:	866-557-9430
Fax Number	:	866-557-9431

Authorized Official
Title or Position	:	OWNER
Name	:	ARLENE BLUMBERG
Credential	:
Telephone Number	:	866-557-9430

Provider Enumeration Date	:	05/20/2011
Last Update Date	:	07/12/2011

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