Organization
SYNERGY PHYSICAL THERAPY
Active
Organization
SYNERGY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EDWARD LAVACEK P.T. (OWNER/PHYSICAL THERAPIST)
(316) 461-2321
Entity
Organization
Contact information
Practice address
3425 W CENTRAL AVE, WICHITA, KS 67203-4919
(316) 946-0990
(316) 943-1139
Mailing address
3425 W CENTRAL AVE, WICHITA, KS 67203-4919
(316) 946-0990
(316) 943-1139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02548
KS
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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