Organization
ERGO SMARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LANGE PT, DPT (PHYSICAL THERAPIST)
(678) 457-5630
Entity
Organization
Contact information
Practice address
9433 TRUMPET VINE LOOP, TRINITY, FL 34655-5366
(678) 457-5630
Mailing address
9433 TRUMPET VINE LOOP, TRINITY, FL 34655-5366
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
Other
Enumeration date
07/06/2013
Last updated
07/06/2013
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