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Organization
MOVEMENT SYNERGY PHYSICAL THERAPY, LLC
Active
Organization
MOVEMENT SYNERGY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JOHN RANDA PT, DPT, OCS, CSCS (OWNER)
(630) 664-6298
Entity
Organization
Contact information
Practice address
2000 N RACINE AVE STE 1000B, CHICAGO, IL 60614-7011
(630) 664-6298
(312) 253-1408
Mailing address
1746 W HURON ST APT 3E, CHICAGO, IL 60622-5631
(630) 664-6298
(312) 253-1408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
03/19/2019
Last updated
12/02/2021
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