Individual
MRS. AUDREY LIBERTY MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4113C NW 6TH ST STE C, GAINESVILLE, FL 32609-1749
(352) 376-6300
(352) 372-0661
Mailing address
4113 NW 6TH ST STE C, GAINESVILLE, FL 32609-0731
(352) 376-6300
(352) 372-0661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1105245
TX
225100000X
Physical Therapist
Primary
31410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31410
PHYSICAL THERAPY LICENSE
FL
Enumeration date
02/22/2007
Last updated
10/13/2019
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