Individual
TRACEY A MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., O.C.S, ATC-L
Contact information
Practice address
161 OCEAN ST, SOUTH PORTLAND, ME 04106-3623
(207) 799-8226
Mailing address
1 VALLEY ST, #1, SOUTH PORTLAND, ME 04106-4320
(207) 799-8226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1180
ME
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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