MR. Ethan Zachary Marshall, CPO

NPI #1609457894 in Rowlett, Texas

Provider Information

NPI Number
1609457894
Entity Type
Individual
Name
MR. Ethan Zachary Marshall, CPO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prosthetist
Credential
CPO
Enumeration Date
Apr 19, 2021
Last Updated
Apr 19, 2021

Practice Location

Address
9400 LAKEVIEW PKWY STE 121
State
Texas
ZIP Code
75088-4401
Phone
(214) 501-4050

Specialties & Taxonomy Codes

Specialty
Prosthetist
Orthotist

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