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NPI Code Detail

MEDICARE: CHRISTINE ELEANOR MERRITT PT, CST

MEDICARE:   CHRISTINE ELEANOR MERRITT  PT, CST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT00002916WA
2225100000XPhysical TherapistPT5923CA

General Provider Information

NPI Number : 1750436440
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE ELEANOR MERRITT PT, CST
Provider Business Mailing Address
First Line : 625 4TH AVE
Second Line : SUITE 303
City : KIRKLAND
State : WA
Zip : 98033-9028
Country : US
Telephone Number : 425-828-0802
Fax Number : 425-485-8749
Provider Business Practice Location Address
First Line : 625 4TH AVE
Second Line : SUITE 303
City : KIRKLAND
State : WA
Zip : 98033-9028
Country : US
Telephone Number : 425-828-0802
Fax Number : 425-485-8749
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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Directions to “ CHRISTINE ELEANOR MERRITT PT, CST” Practice Location

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