# DR. EDWARD LEE MARSHALL JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639106677
- **Gender:** Man
- **Credential:** DPT, ECS, OCS, R.NCS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | 17821-54217 | MD | Yes |
| 2251X0800X | Orthopedic Physical Therapist | 17821 | MD | — |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 01/31/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 401298400 | — | MD |