Basic Information
Provider Information
NPI: 1336477553
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MERRITT
FirstName: RHONDA
MiddleName: DOW
NamePrefix: MRS.
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 E GREENVILLE ST STE 3900
Address2:  
City: ANDERSON
State: SC
PostalCode: 296211726
CountryCode: US
TelephoneNumber: 8642312874
FaxNumber: 8642312875
Practice Location
Address1: 2000 E GREENVILLE ST STE 3900
Address2:  
City: ANDERSON
State: SC
PostalCode: 296211726
CountryCode: US
TelephoneNumber: 8642312874
FaxNumber: 8642312875
Other Information
ProviderEnumerationDate: 11/28/2009
LastUpdateDate: 11/28/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X2822SCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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