Individual
DR. CHRISTINA MARIE MERCKX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2602 BUCHANAN ST, WALL TOWNSHIP, NJ 07719-4102
(985) 634-8005
Mailing address
2602 BUCHANAN ST, WALL TOWNSHIP, NJ 07719-4102
(985) 634-8005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT006854
PA
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069202415
BOARD OF CERTIFICATION
—
01
—
36000290A
ATHLETIC TRAINING LICENSE
IN
01
—
AT001466
ATHLETIC TRAINING LICENSE
OH
01
—
RT006854
ATHLETIC TRAINING LICENSE
PA
Enumeration date
07/16/2018
Last updated
07/21/2022
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