Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 110272 | TX |
NPI | 1174752323 |
---|---|
Provider Name | Cheri Merritt |
First Address | Dallas, TX 75222-6656 |
Second Address | Dallas, TX 75208-2326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 09/07/2009 |