Individual
SHANNON MERKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, OTR/L, CHT
Contact information
Practice address
10 GENERAL GREENE AVE, BLDG 42, MILITARY PERFORMANCE DIVISION, USARIEM, NATICK, MA 01760
(508) 206-2347
Mailing address
10 GENERAL GREENE AVE, BLDG 42, MILITARY PERFORMANCE DIVISION, USARIEM, NATICK, MA 01760
(508) 206-2347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01086
IA
225X00000X
Occupational Therapist
1024550
—
225X00000X
Occupational Therapist
Primary
3344
SC
225XH1200X
Hand Occupational Therapist
1071100331
—
Other
Enumeration date
04/03/2006
Last updated
02/28/2020
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