Organization
SYNERGY PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNETT MICHAEL RADER DPT (PHYSICAL THERAPIST)
(580) 799-0706
Entity
Organization
Contact information
Practice address
6301 NW 156TH ST, EDMOND, OK 73013-2138
(580) 799-0706
Mailing address
6301 NW 156TH ST, EDMOND, OK 73013-2138
(580) 799-0706
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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