Organization
ERGO BODY INC.
Active
Other names
Ergo Body
Organization subpart
No
Provider details
NPI number
Authorized official
ILENE M CHAZAN PT (PRESIDENT, PHYSICAL THERAPIST)
(904) 536-1829
Entity
Organization
Contact information
Practice address
1555 SAN MARCO BLVD, JACKSONVILLE, FL 32207-2905
(904) 536-1829
(904) 396-1787
Mailing address
3655 SAN JOSE BLVD., JACKSONVILLE, FL 32207-5224
(904) 536-1829
(904) 396-1787
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
19701
FL
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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