NPI 1225077332

Susie Marshall, MSPT

Practitioner Specialist Bangor, ME

Practice location

Address: 1365 Broadway, Bangor, ME 04401-2401
Phone: (207) 942-2233

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence PT2571 (ME)

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Registry record

NPI: 1225077332
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2006
Record last updated: 7 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.