BLAINE MARSHALL

LAKE JACKSON, TX
NPI1528702099
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1352837)
Enumeration Date2022-04-21
Last Update Date2022-04-21
Business Address
BLAINE MARSHALL
210 LAKE RD STE 500
LAKE JACKSON, TX 77566-4982
Phone number: 979-258-7228
Mailing Address
BLAINE MARSHALL
12400 SHADOW CREEK PKWY APT 409
PEARLAND, TX 77584-7349
Phone number: