| Syntrillo, Inc | |
|
1904 Fox Run Ln, Charlottesville, VA 22901-8833 | |
| (770) 301-2069 | |
| Not Available |
| Full Name | Syntrillo, Inc |
|---|---|
| Type | Facility |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1904 Fox Run Ln, Charlottesville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205693140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XN1300X | Occupational Therapist - Neurorehabilitation | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mark Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20190626003113 |
| Provider Name | Elizabeth King |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851145940 PECOS PAC ID: 2365981115 Enrollment ID: I20240826001456 |
| Provider Name | Theodore Faber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558372995 PECOS PAC ID: 8123117249 Enrollment ID: I20241216001891 |
| Provider Name | Chloe Rey-talley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851127450 PECOS PAC ID: 7315474558 Enrollment ID: I20241230000582 |
| Mailing Address | Practice Location Address |
|---|---|
| Syntrillo, Inc 240 W Main St Ste 100cw113, Charlottesville, VA 22902-5005 Ph: (678) 508-1130 | Syntrillo, Inc 1904 Fox Run Ln, Charlottesville, VA 22901-8833 Ph: (770) 301-2069 |