Individual
DESANN MARIE MAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
771 CARPENTERS WAY, LAKELAND, FL 33809-3922
(727) 803-1102
(727) 502-6027
Mailing address
260 1ST AVE S STE 200, SAINT PETERSBURG, FL 33701-4364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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