Provider Demographics
NPI:1669431839
Name:FREEMAN, MERYL W (MS, PT)
Entity type:Individual
Prefix:MS
First Name:MERYL
Middle Name:W
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MS, PT
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Mailing Address - Street 1:2709 BLUE RIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6462
Mailing Address - Country:US
Mailing Address - Phone:919-784-4696
Mailing Address - Fax:919-784-4697
Practice Address - Street 1:2709 BLUE RIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6462
Practice Address - Country:US
Practice Address - Phone:919-784-4696
Practice Address - Fax:919-784-4697
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC27772251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic