Individual
CONSUELA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8326 PETTIT RD, BAKER, LA 70714-6423
(225) 955-4182
Mailing address
8326 PETTIT RD, BAKER, LA 70714-6423
(225) 955-4182
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11107
LA
Other
Enumeration date
08/19/2021
Last updated
09/13/2023
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