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Organization
SYNERGY CARE SOUTHEAST, LLC
Active
Organization
SYNERGY CARE SOUTHEAST, LLC
Active
Other names
Synergy Care Southeast LLC - Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
TODD R BROUSSARD (CONTROLLER)
(337) 310-8500
Entity
Organization
Contact information
Practice address
127 W BROAD ST, LAKE CHARLES, LA 70601-4393
(337) 310-8500
(888) 241-3028
Mailing address
127 W BROAD ST, LAKE CHARLES, LA 70601-4393
(337) 310-8500
(888) 241-3028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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