Individual
NATHANIEL MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184087
—
WI
Enumeration date
09/12/2017
Last updated
11/17/2024
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