Individual
DR. EDWARD LEE MARSHALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ECS, OCS, R.NCS
Contact information
Practice address
6091 TOURSOME DR, MOUNT AIRY, MD 21771-8015
(301) 252-5380
(301) 829-3211
Mailing address
6091 TOURSOME DR, MOUNT AIRY, MD 21771-8015
(301) 252-5380
(301) 829-3211
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
17821-54217
MD
2251X0800X
Orthopedic Physical Therapist
17821
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401298400
—
MD
Enumeration date
06/26/2006
Last updated
01/31/2020
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