Individual
MS. ETHEL L MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
150 BERGEN ST # B239, NEWARK, NJ 07103-2496
(973) 972-3466
(973) 972-5725
Mailing address
644 S 10TH ST, NEWARK, NJ 07108-1636
(973) 824-0940
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
NJ
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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