Provider Demographics
NPI:1215165386
Name:MERKEL, DIANA MARILYN (MSPT)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:MARILYN
Last Name:MERKEL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 WESTFIELD CT
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2245
Mailing Address - Country:US
Mailing Address - Phone:717-732-4667
Mailing Address - Fax:
Practice Address - Street 1:722 WESTFIELD CT
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2245
Practice Address - Country:US
Practice Address - Phone:717-732-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008697E2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics