Provider Demographics
NPI:1164198131
Name:MARSHALL, MARGARET EMILY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:EMILY
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 BELL FORK RD STE E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-6471
Mailing Address - Country:US
Mailing Address - Phone:910-238-2259
Mailing Address - Fax:888-209-9322
Practice Address - Street 1:233 BELL FORK RD STE E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-6471
Practice Address - Country:US
Practice Address - Phone:910-238-2259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP20700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist