Individual
MEAGAN MARIE MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
4217 SAYBROOK DR, EVANSVILLE, IN 47711-7735
(812) 449-0433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99063536A
IN
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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