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Individual

EMILLY MUNGUIA MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
100 CARPENTER CT, DOTHAN, AL 36303-3088
(931) 217-3288

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17583
NC
225100000X
Physical Therapist
PT012855
GA

Other

Enumeration date
08/23/2017
Last updated
05/03/2019
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