Individual
JEANNE E MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1506 GULLY RD, WALL, NJ 07719-4443
(732) 681-1400
Mailing address
1116 BAY AVE, POINT PLEASANT BORO, NJ 08742-3012
(732) 714-1760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00180000
NJ
Other
Enumeration date
04/11/2010
Last updated
04/11/2010
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