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Organization

SYNERGY SPORTS AND MEDICAL REHABILITATION

Active
Other names
123 Physical Therapy, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
VIVIAN RODRIGUEZ (OFFICE MANAGER)
(201) 758-5238
Entity
Organization

Contact information

Practice address
6120 BUCHANAN PLACE, WEST NEW YORK, NJ 07093-2915
(201) 758-5238
(201) 758-5240
Mailing address
P.O. BOX 4073, WEST NEW YORK, NJ 07093-2915
(201) 758-5238
(201) 758-5240

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
07/17/2007
Last updated
12/09/2014
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