Individual
ADAM C MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4755 WINESAP DR, HORN LAKE, MS 38637-7276
(662) 671-5446
Mailing address
4755 WINESAP DR, HORN LAKE, MS 38637-7276
(662) 671-5446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5967
TN
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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