Individual
ELISA S MENCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214
(904) 542-9545
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5000
(904) 524-9545
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305207446
VA
Other
Enumeration date
11/05/2012
Last updated
11/25/2024
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