Abigail L Merkley, COTA

Individual provider Active NPI Occupational Therapy Assistant · Dale, IN

NPI 1023309168 · NPPES record last updated Apr 24, 2011

Key facts

NPI
1023309168
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32001947A (IN)
Practice address
404 W Willow Rd
Dale, IN 47523-8947
Phone
(812) 937-4489
NPI assigned
Apr 24, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32001947AINMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32001947A IN Yes

Addresses

Primary practice location

404 W Willow Rd
Dale, IN 47523-8947

Mailing address

PO Box 315
Dale, IN 47523-0315
Phone (812) 937-4489

Other providers in Dale, IN

All providers in Dale, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.