Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 19151 | MA |
Y | 2251P0200X | Physical Therapist - Pediatrics | 3681 | NH |
NPI | 1073853420 |
---|---|
Provider Name | Darya Merkin |
First Address | Salem, NH 03079-3925 |
Second Address | Salem, NH 03079-3925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2013 |
Last Update Date | 21/02/2013 |