Provider Demographics
NPI:1316559701
Name:SYNERGY PHYSICAL THERAPY & PERFORMANCE II, LLC
Entity Type:Organization
Organization Name:SYNERGY PHYSICAL THERAPY & PERFORMANCE II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE PARTNER/CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRANGOS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:504-841-9977
Mailing Address - Street 1:2220 CONSTITUTION ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-1524
Mailing Address - Country:US
Mailing Address - Phone:504-841-9977
Mailing Address - Fax:504-841-9978
Practice Address - Street 1:2220 CONSTITUTION ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-1524
Practice Address - Country:US
Practice Address - Phone:504-841-9977
Practice Address - Fax:504-841-9978
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYNERGY PHYSICAL THERAPY & PERFORMANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty