Individual
DANIELLE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4586 ACUSHNET AVE, NEW BEDFORD, MA 02745-4715
(508) 998-1188
Mailing address
4586 ACUSHNET AVE, NEW BEDFORD, MA 02745-4715
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12033
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12033
PROFESSIONAL LICENCE OCCUPATIONAL THERAPY
MA
Enumeration date
10/28/2016
Last updated
10/28/2016
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