Individual
ALEXANDER MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
Mailing address
495 JEFFERSON DR, MICHIGAN CENTER, MI 49254-1426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
432219
OR
225X00000X
Occupational Therapist
Primary
OT011051
OH
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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