Individual
ELIZABETH SUMMER MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2557 PEMBROKE RD STE 100A, GASTONIA, NC 28054-4712
(980) 320-8275
(704) 973-7862
Mailing address
2557 PEMBROKE RD, GASTONIA, NC 28054-4712
(980) 320-8275
(704) 973-7862
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7876
NC
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033498191
—
NC
Enumeration date
08/08/2011
Last updated
05/24/2022
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