Individual
ANTHONY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6767 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6736
(317) 640-1139
Mailing address
6767 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6736
(317) 640-1139
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
IN
Other
Enumeration date
09/08/2020
Last updated
08/29/2022
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