Provider Demographics
NPI:1982981684
Name:HASWELL, MERRITT EILEEN (DPT)
Entity Type:Individual
Prefix:
First Name:MERRITT
Middle Name:EILEEN
Last Name:HASWELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 E FOOTHILL BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2314
Mailing Address - Country:US
Mailing Address - Phone:626-445-2400
Mailing Address - Fax:626-445-2419
Practice Address - Street 1:50 E FOOTHILL BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2314
Practice Address - Country:US
Practice Address - Phone:626-445-2400
Practice Address - Fax:626-445-2419
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT021708225100000X
CA400692251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist