Individual
MARIJCKE VAN DER MERWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2848 COBBLESTONE DR, PALM HARBOR, FL 34684-1620
(727) 709-6133
Mailing address
2848 COBBLESTONE DR, PALM HARBOR, FL 34684-1620
(727) 709-6133
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT13353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883427000
—
FL
Enumeration date
02/13/2007
Last updated
10/04/2013
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