Individual
DR. REBECCA A MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, MTC
Contact information
Practice address
9602 COLDWATER RD, 102, FORT WAYNE, IN 46825-2095
(260) 489-9887
(260) 489-9121
Mailing address
9602 COLDWATER RD, 102, FORT WAYNE, IN 46825-2095
(260) 489-9887
(260) 489-9121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008063A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000600761
ANTHEM
—
05
—
200449060
—
IN
Enumeration date
10/03/2006
Last updated
11/08/2010
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