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NPI Code Detail

MEDICARE: SYNERGY MANUAL PHYSICAL THERAPY PC

MEDICARE: SYNERGY MANUAL PHYSICAL THERAPY PC
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1740697440
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGY MANUAL PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 2375 TELSTAR DR STE 115
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-1029
Country : US
Telephone Number : 719-282-2320
Fax Number : 719-634-1112
Provider Business Practice Location Address
First Line : 2375 TELSTAR DR STE 115
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-1029
Country : US
Telephone Number : 719-282-2320
Fax Number : 719-282-2330
Authorized Official
Title or Position : PRACTICE MANAGER
Name : RIC WEGRZYN
Credential :
Telephone Number : 719-633-3479
Provider Enumeration Date : 07/15/2014
Last Update Date : 11/17/2020

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Directions to “SYNERGY MANUAL PHYSICAL THERAPY PC ” Practice Location

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