Individual
MRS. CHRISTINE HENRIE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1160 N WOODLAND AVE, TUCSON, AZ 85712-4932
(520) 419-1059
(520) 326-0318
Mailing address
1160 N WOODLAND AVE, TUCSON, AZ 85712-4932
(520) 419-1059
(520) 326-0318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0006
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770629
AHCCCS MEDICAID
AZ
Enumeration date
12/05/2006
Last updated
06/01/2013
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