Organization
ERGO TECH,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT THOMPSON (OWNER/OCCUPATIONAL THERAPIST)
(504) 628-4765
Entity
Organization
Contact information
Practice address
2601 SOMERSET DR, NEW ORLEANS, LA 70131-5227
(504) 628-4765
Mailing address
2601 SOMERSET DR, NEW ORLEANS, LA 70131-5227
(504) 628-4765
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
019746-1
NY
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
019746-1
NY
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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