Manda M Marshall, PTA
Physical Therapy Assistant in Aurora, IL. Individual provider (NPI-1).
NPI number1699808972
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1699808972
- Entity type
- Individual (NPI-1)
- Name
- Manda M Marshall
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160002672 | IL | Yes |
Practice location
400 N Highland AveAurora, IL 60506-3814
Phone 630-978-2532
Mailing address
400 N Highland AveAurora, IL 60506-3814
Phone 630-978-2532
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Aurora, IL
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- Kelly M GoussetNPI 1194983007
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All 23 Physical Therapy Assistant providers in Aurora · All 4,242 providers in Aurora
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