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Individual

MALIA KALANI PROVEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2810 W US HIGHWAY 64 STE 2, MURPHY, NC 28906-4061
(828) 516-1700
(828) 516-1701
Mailing address
2810 W US HIGHWAY 64 STE 2, MURPHY, NC 28906-4061
(828) 516-1700
(825) 516-1701

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14450
NC

Other

Enumeration date
08/03/2021
Last updated
11/30/2021
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