| Organization Name: | SYNERGY REHABILITATION LLC |
| NPI Number: | 1083922470 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RALPH LAUDANO MAURIELLO (SOLE MEMBER) |
| Mailing Address: | 52 Washington Ave Suite 4 North Haven |
| State: | CT US |
| Postal Code: | 064731724 |
| Phone Number: | 2036910961 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2010 |
| NPI Last Update Date: | 09/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 5614 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |