Provider Demographics
NPI:1043506280
Name:MERRITT, MEAGAN WHITE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:WHITE
Last Name:MERRITT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 SUSQUEHANNA RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-4622
Mailing Address - Country:US
Mailing Address - Phone:215-886-2412
Mailing Address - Fax:
Practice Address - Street 1:1801 SUSQUEHANNA RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-4622
Practice Address - Country:US
Practice Address - Phone:215-886-2412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist