Individual
CINDY MARY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
205 WAGNER RD, CORAM, MT 59913
(406) 261-2447
Mailing address
PO BOX 130043, CORAM, MT 59913
(406) 261-2447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
377
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0341952
—
MT
Enumeration date
06/29/2007
Last updated
07/08/2007
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