ETHAN ZACHARY MARSHALL

ROWLETT, TX
NPI1609457894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  2120)
Additional Taxonomies222Z00000X Orthotist
(Licence: TX  2120)
Enumeration Date2021-04-19
Last Update Date2021-04-19
Business Address
MR. ETHAN ZACHARY MARSHALL CPO
9400 LAKEVIEW PKWY STE 121
ROWLETT, TX 75088-4401
Phone number: 214-501-4050
Mailing Address
MR. ETHAN ZACHARY MARSHALL CPO
PO BOX 315
ROWLETT, TX 75030-0315
Phone number: 214-501-4050
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