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Individual
MARYBETH MARSHALL
Active
Individual
MARYBETH MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012690
NY
2251N0400X
Neurology Physical Therapist
012690
NY
2251P0200X
Pediatric Physical Therapist
012690
NY
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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