Individual
MRS. LISA MARIE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
280 E MAIN ST, SUITE 132, NEWARK, DE 19711-7333
(302) 709-0440
(302) 709-0443
Mailing address
280 E MAIN ST, SUITE 132, NEWARK, DE 19711-7333
(302) 709-0440
(302) 709-0443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0000146
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000035510
—
DE
Enumeration date
07/03/2006
Last updated
11/22/2011
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