Provider Demographics
NPI:1366019127
Name:SYNERGETIC HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:SYNERGETIC HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:POLEC
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:586-431-0141
Mailing Address - Street 1:825 WEBB ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-1024
Mailing Address - Country:US
Mailing Address - Phone:586-431-0141
Mailing Address - Fax:
Practice Address - Street 1:825 WEBB ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-1024
Practice Address - Country:US
Practice Address - Phone:586-431-0141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty