Provider Demographics
NPI:1780873893
Name:MERSCHBACH, MICHELLE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:MERSCHBACH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 CHOLET DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-4802
Mailing Address - Country:US
Mailing Address - Phone:215-284-1163
Mailing Address - Fax:484-684-7999
Practice Address - Street 1:66 S COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1252
Practice Address - Country:US
Practice Address - Phone:215-721-7800
Practice Address - Fax:215-721-6699
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2012-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0C006743L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist