Organization
SYNERGY PHYSICAL THERAPY OF ODESSA LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE S. RUSH P.T. (ADMINISTRATOR)
(432) 335-8777
Entity
Organization
Contact information
Practice address
808 TOWER DR, SUITE 7, ODESSA, TX 79761-4243
(432) 335-8777
(432) 335-8787
Mailing address
808 TOWER DR, SUITE 7, ODESSA, TX 79761-4243
(432) 335-8777
(432) 335-8787
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177897901
—
TX
Enumeration date
10/10/2006
Last updated
07/12/2012
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