Provider Demographics
NPI:1902138589
Name:MARSHALL, KRISTIN B (OT)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:B
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE HAMPTON ROAD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4855
Mailing Address - Country:US
Mailing Address - Phone:603-772-0604
Mailing Address - Fax:603-778-9680
Practice Address - Street 1:ONE HAMPTON ROAD
Practice Address - Street 2:SUITE 205
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4855
Practice Address - Country:US
Practice Address - Phone:603-772-0604
Practice Address - Fax:603-778-9680
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0817225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist