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NPI Code Detail

MEDICARE: DIANE MERZ PTA

MEDICARE: DIANE MERZ PTA
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
1225200000XPhysical Therapy AssistantP1 60219669WA

General Provider Information

NPI Number : 1023485885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE MERZ PTA
Provider Business Mailing Address
First Line : 20420 MARINE DR
Second Line :
City : STANWOOD
State : WA
Zip : 98292-6116
Country : US
Telephone Number : 360-652-2606
Fax Number :
Provider Business Practice Location Address
First Line : 20420 MARINE DR
Second Line :
City : STANWOOD
State : WA
Zip : 98292-6116
Country : US
Telephone Number : 360-652-2606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2015
Last Update Date : 08/27/2015

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Directions to “ DIANE MERZ PTA” Practice Location

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