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Individual
NATHANIEL MARSHALL
Active
Individual
NATHANIEL MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184087
—
WI
Enumeration date
09/12/2017
Last updated
11/17/2024
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