Organization
SYNERGY THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN GRIFFIN COTA/L (OWNER)
(662) 871-0549
Entity
Organization
Contact information
Practice address
606 BELLE OAK LN, BRANDON, MS 39042-8101
(662) 871-0549
Mailing address
606 BELLE OAK LN, BRANDON, MS 39042-8101
(662) 871-0549
(769) 241-5600
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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