Individual
MR. MICHAEL JOSEPH MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.R,.
Contact information
Practice address
MOUNTAIN HOME V A, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
334 DESORMEAUX WAY, GREENEVILLE, TN 37743-5452
(423) 213-7269
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OTT.Z12357
LA
Other
Enumeration date
04/28/2006
Last updated
01/30/2009
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