Provider Demographics
NPI:1386882066
Name:MERKEL, JENNIFER (PT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:MERKEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 WOODBURN RD
Mailing Address - Street 2:STE 205
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-7309
Mailing Address - Country:US
Mailing Address - Phone:703-204-0869
Mailing Address - Fax:703-204-0637
Practice Address - Street 1:3301 WOODBURN RD
Practice Address - Street 2:STE 205
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-7309
Practice Address - Country:US
Practice Address - Phone:703-204-0869
Practice Address - Fax:702-204-0637
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD198562251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic