| NPI | 1609279405 |
|---|---|
| Doing Business As | ERGO BODY |
| Entity Type | Organization |
| Authorized Contact | ILENE M CHAZAN President, Physical Therapist 904-536-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 19701) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |