Provider Demographics
NPI:1205640711
Name:MERRITT, VICTORIA ANNE (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANNE
Last Name:MERRITT
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 GREENLEE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-1024
Mailing Address - Country:US
Mailing Address - Phone:484-366-3927
Mailing Address - Fax:
Practice Address - Street 1:744 GREENLEE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-1024
Practice Address - Country:US
Practice Address - Phone:484-366-3927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC017719225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation