Individual
HALLIE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 BEL AIRE DR, RANTOUL, IL 61866-1619
(217) 781-0450
Mailing address
1208 BEL AIRE DR, RANTOUL, IL 61866-1619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011811
IL
225X00000X
Occupational Therapist
17102
CA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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