Healthcare Provider Details

I. General information

NPI: 1205640711
Provider Name (Legal Business Name): VICTORIA ANNE MERRITT OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 GREENLEE RD
PITTSBURGH PA
15227-1024
US

IV. Provider business mailing address

744 GREENLEE RD
PITTSBURGH PA
15227-1024
US

V. Phone/Fax

Practice location:
  • Phone: 484-366-3927
  • Fax:
Mailing address:
  • Phone: 484-366-3927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOC017719
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: