Provider Demographics
NPI:1811948300
Name:MARSDEN, ALLISON LEE (PT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEE
Last Name:MARSDEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4150 BELDEN VILLAGE ST NW
Mailing Address - Street 2:LL3
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2595
Mailing Address - Country:US
Mailing Address - Phone:330-701-4986
Mailing Address - Fax:330-491-1672
Practice Address - Street 1:4150 BELDEN VILLAGE ST NW
Practice Address - Street 2:LL3
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2595
Practice Address - Country:US
Practice Address - Phone:330-701-4986
Practice Address - Fax:330-491-1672
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT7459225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist