Individual
EMILY M MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
900 E DIVISION ST, WAUTOMA, WI 54982-6944
(920) 787-6900
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11446-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255257
—
WI
Enumeration date
06/12/2013
Last updated
08/29/2024
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