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Individual

MRS. JENNIFER ELAINE MARSHALL

Active
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Individual

MRS. JENNIFER ELAINE MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0183431
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000490155008
BLUE SHIELD
05
01940665
NY
01
10027745
CDPHP
01
141637577
WORKERS COMP
01
6008747
MVP
01
QQ3542
BS
Enumeration date
03/03/2006
Last updated
03/23/2009
About Stedi
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  • Eligibility checks
  • EDI platform