Individual
MS. DEANNE DEFOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2161 E COUNTY ROAD 540A STE 150, LAKELAND, FL 33813-3794
(863) 529-4222
Mailing address
6762 HARTSWORTH DR, LAKELAND, FL 33813-0809
(863) 529-4222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2286
FL
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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