Individual
GRANT LEE MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
5539 HIGHWAY FORTY SEVEN, CHASE CITY, VA 23924-3727
(434) 372-8885
Mailing address
1312 BERNARD ST, SOUTH BOSTON, VA 24592-2612
(434) 575-5111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204672
VA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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