Individual
KELLY ERIN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1365 ENFIELD ST, ENFIELD, CT 06082-4925
(860) 741-0791
Mailing address
1365 ENFIELD ST, ENFIELD, CT 06082-4925
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001749
CT
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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