Organization
SYNERTX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA SODERSTROM (CERTIFIED OCCUPATIONAL THERAPY ASST)
(800) 873-4221
Entity
Organization
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(623) 533-5704
Mailing address
6630 W HAYES ST, PHOENIX, AZ 85043-5079
(623) 533-5704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3248
AZ
Other
Enumeration date
05/28/2007
Last updated
08/22/2020
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