Synergy Performance, Inc. | |
871 S Tustin St Orange CA 92866-3426 | |
(310) 321-4967 | |
Not Available |
Full Name | Synergy Performance, Inc. |
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Speciality | Physical Therapist |
Location | 871 S Tustin St, Orange, California |
Authorized Official Name and Position | Stephan Tucker (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3103214967 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Synergy Performance, Inc. 174 W Lincoln Ave Ste 303 Anaheim CA 92805-2901 Ph: (310) 321-4967 | Synergy Performance, Inc. 871 S Tustin St Orange CA 92866-3426 Ph: (310) 321-4967 |
NPI Number | 1326426644 |
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Provider Enumeration Date | 05/07/2015 |
Last Update Date | 10/27/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326426644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
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