Individual
DENA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3550 COLLEGE AVE, SUITE A, ALTON, IL 62002
(618) 465-6566
(618) 465-6573
Mailing address
5404 DIXON DR, GODFREY, IL 62035-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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