Individual
MRS. LISA DIANE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2821 WOODLAWN AVE NW, CANTON, OH 44708-1423
(330) 479-4805
(330) 479-4803
Mailing address
2451 FAIRCHILD CIR NW, UNIONTOWN, OH 44685-6630
(330) 499-7174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-007852
OH
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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