Provider Demographics
NPI:1396896916
Name:MERZ, WENDA JEANNE (PT)
Entity type:Individual
Prefix:
First Name:WENDA
Middle Name:JEANNE
Last Name:MERZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9267 GREENBACK LN
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4863
Mailing Address - Country:US
Mailing Address - Phone:916-988-2359
Mailing Address - Fax:
Practice Address - Street 1:9267 GREENBACK LN
Practice Address - Street 2:SUITE C-2
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4863
Practice Address - Country:US
Practice Address - Phone:916-988-2359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 7738225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist