Individual
STACEY LYNN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 GEREMONTY DR, SALEM, NH 03079-3314
(603) 893-5588
Mailing address
23 GEREMONTY DR, SALEM, NH 03079-3314
(603) 893-5588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2124
NH
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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