Provider Demographics
NPI:1285846261
Name:MARSHALL, SETSU (LOJ)
Entity Type:Individual
Prefix:MS
First Name:SETSU
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:LOJ
Other - Prefix:MS
Other - First Name:SETSU
Other - Middle Name:
Other - Last Name:YONEKAWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:438 E SHAW AVE
Mailing Address - Street 2:# 401
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-7602
Mailing Address - Country:US
Mailing Address - Phone:903-724-2924
Mailing Address - Fax:559-227-1690
Practice Address - Street 1:700 N COLORADO BOULEVARD
Practice Address - Street 2:# 318
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4036
Practice Address - Country:US
Practice Address - Phone:866-801-9492
Practice Address - Fax:866-293-4719
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106563225X00000X
NM932225X00000X
NE388225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist