Organization
MARSHALL PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM MARSHALL OTR/L (OWNER)
(859) 224-2273
Entity
Organization
Contact information
Practice address
3260 BLAZER PKWY STE 100, LEXINGTON, KY 40509-2116
(859) 224-2273
Mailing address
105 WIND HAVEN DR, SUITE 1, NICHOLASVILLE, KY 40356-8005
(859) 224-2273
(859) 224-4675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
R3083
KY
235Z00000X
Speech-Language Pathologist
4077
KY
Other
Enumeration date
11/05/2013
Last updated
08/28/2014
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