| Doctor Name: | PENNY JACQUELINE MERRIMAN |
| NPI Number: | 1568522563 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS PT |
| License Number: | 1131019 |
| Business Practice Address: | 1724 S Brahma Blvd Ste 104 Kingsville, TX - 783636793 |
| Business Phone Number: | 3615954163 |
| Business Fax Number: | 3615920276 |
| Mailing Address: | 1425 Michael St, KINGSVILLE |
| State: | TX |
| Postal Code: | 783636953 |
| Phone Number: | 3612219490 |
| Fax Number: | 3615920276 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1131019 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |