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NPI Code Detail

MEDICARE: CARNITTA MARSHALL OTR/L

MEDICARE: CARNITTA MARSHALL OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist6559OH

General Provider Information

NPI Number : 1538795968
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARNITTA MARSHALL OTR/L
Provider Business Mailing Address
First Line : 829 CLEARFIELD LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9692 CINCINNATI COLUMBUS RD
Second Line :
City : WEST CHESTER
State : OH
Zip : 45241-1071
Country : US
Telephone Number : 513-505-8751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2020
Last Update Date : 03/17/2020

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Directions to “ CARNITTA MARSHALL OTR/L” Practice Location

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