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Organization
MERRITT PHYSICAL THERAPY & REABILITATION INC. PC
Active
Organization
MERRITT PHYSICAL THERAPY & REABILITATION INC. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MOORE PT (ADMINISTRATOR)
(276) 935-6496
Entity
Organization
Contact information
Practice address
20716 RIVERSIDE DR, GRUNDY, VA 24614-6747
(276) 935-6496
(276) 935-5852
Mailing address
PO BOX 1078, GRUNDY, VA 24614-1078
(273) 935-6496
(276) 935-5852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003200
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978471
—
VA
05
—
1184774598
—
VA
01
—
193487
ANTHEM
VA
Enumeration date
01/11/2007
Last updated
02/11/2026
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