Individual
KRISTY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
407 CHURCH ST, SUITE E, GEORGETOWN, SC 29440-3792
(843) 520-8810
Mailing address
144 MACKINLEY CIR, PAWLEYS ISLAND, SC 29585-5644
(949) 357-3689
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1221
CA
Other
Enumeration date
08/07/2009
Last updated
04/22/2013
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