Individual
AUTUMN MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 WASHINGTON CIR NW, STE 110, WASHINGTON, DC 20037-2356
(202) 659-7625
(202) 659-7740
Mailing address
5252 LYNGATE CT, STE 203, BURKE, VA 22015-1672
(703) 239-2300
(703) 239-2301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23765
MD
225100000X
Physical Therapist
Primary
PT871746
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8825 - 0036
CAREFIRST
MD
01
—
K949 - 0067
CAREFIRST
DC
Enumeration date
09/29/2013
Last updated
09/24/2015
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