Rodelyn Datario Merjudio, PT

Individual provider Active NPI Physical Therapist · Akron, PA

NPI 1457500415 · NPPES record last updated Sep 15, 2008

Key facts

NPI
1457500415
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT019302 (PA)
Practice address
719 Main St
Apt 1
Akron, PA 17501-1372
Phone
(443) 538-7951
NPI assigned
Sep 15, 2008
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
PT019302PAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019302 PA Yes

Addresses

Primary practice location

719 Main St
Apt 1
Akron, PA 17501-1372

Mailing address

3290 N Ridge Rd
Suite 290
Ellicott City, MD 21043-3655
Phone (703) 435-5110

Other providers in Akron, PA

All providers in Akron, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.