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Individual

NICOLE MARIE MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2505 NW TODDS CREST DR, BEND, OR 97703-7525
(425) 870-9059
Mailing address
2505 NW TODDS CREST DRIVE, BEND, OR 97703
(425) 870-9059

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61501
OR
225100000X
Physical Therapist
PT60291163
WA

Other

Enumeration date
07/31/2012
Last updated
07/21/2022
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