Individual
MRS. MELISSA NONE MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CHT
Contact information
Practice address
3201 UNIVERSITY DR E, SUITE 415, BRYAN, TX 77802-3475
(919) 776-5533
Mailing address
3201 UNIVERSITY DR E, SUITE 415, BRYAN, TX 77802-3475
(919) 776-5533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1023745
TX
2251H1200X
Hand Physical Therapist
Primary
1023745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6484360001
MEDICARE PTAN
TX
Enumeration date
05/13/2010
Last updated
06/13/2011
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