Individual
CHARLENE M MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 WISCONSIN RIVER DR, PORT EDWARDS, WI 54469-1099
(715) 885-8305
Mailing address
1351 WISCONSIN RIVER DR, PORT EDWARDS, WI 54469-1099
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1027
WI
Other
Enumeration date
05/25/2007
Last updated
10/08/2025
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