Individual
MR. RANDALL DOUGLAS MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
50 HILLCREST MEDICAL BLVD STE 203, WACO, TX 76712-8954
(254) 202-9800
(254) 202-9849
Mailing address
PO BOX 21146, WACO, TX 76702-1146
(254) 202-9800
(254) 202-9849
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
107868
TX
225XH1200X
Hand Occupational Therapist
OT-1283
ID
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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