Individual
ALISHA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2 BROADWAY PLZ, PERU, IN 46970-1052
(765) 753-8829
Mailing address
2 BROADWAY PLZ, PERU, IN 46970-1052
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002796A
IN
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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