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Individual

MS. DEANA LYNN MERCHANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
7575 5 MILE RD, CINCINNATI, OH 45230-4346
(513) 233-4360
(513) 233-4361
Mailing address
4701 CREEK RD, SUITE 110, CINCINNATI, OH 45242-8398
(513) 733-9333
(513) 588-2479

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-06474
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000340563
ANTHEM
OH
05
2506890
OH
01
P00607504
MEDICARE RAILROAD
OH
Enumeration date
07/13/2005
Last updated
10/13/2011
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