Marshall, Joanna Leigh

Marshall, Joanna Leigh is an individual health care provider with primary practice located at 10475 Centurion Pkwy N Ste 220 , Jacksonville FL 32256-5004. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Marshall, Joanna Leigh can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
10475 Centurion Pkwy N Ste 220 Jacksonville FL 32256-5004
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT19967 Florida

Profile Details

NPI number 1154326536
LBN Legal business name Marshall, Joanna Leigh
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Oct 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154326536 NPPES
Florida Other P00194010 RR MEDICARE

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