Marlene McDonald-Smithson, MOT, OTR

Individual provider Active NPI Occupational Therapist · Marshall, IL

NPI 1497094437 · NPPES record last updated Sep 16, 2021

Key facts

NPI
1497094437
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
910 Archer Ave
Marshall, IL 62441-1556
Phone
(812) 208-5963
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

910 Archer Ave
Marshall, IL 62441-1556

Mailing address

910 Archer Ave
Marshall, IL 62441-1556
Phone (812) 208-5963

Other practice location 1

2003 N 11th St
Terre Haute, IN 47804-2922
Phone (812) 208-9563

Other providers in Marshall, IL

All providers in Marshall, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.