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Organization
SYNERGY PERFORMANCE, INC.
Active
Organization
SYNERGY PERFORMANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHAN TUCKER (CHIEF EXECUTIVE OFFICER)
(310) 321-4967
Entity
Organization
Contact information
Practice address
871 S TUSTIN ST, ORANGE, CA 92866-3426
(310) 321-4967
Mailing address
174 W LINCOLN AVE STE 303, ANAHEIM, CA 92805-2901
(310) 321-4967
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
10/27/2018
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