Individual
MR. GEORGE WILLIAM MERKICH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
422 FLORIDA AVE, CHESTER, WV 26034
(304) 387-0703
Mailing address
422 FLORIDA AVE, CHESTER, WV 26034-1217
(304) 387-0703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04509
OH
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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