Individual
HEAVEN MARCULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5281 LOWER KULA RD, KULA, HI 96790-7712
(727) 458-5738
Mailing address
PO BOX 899, KULA, HI 96790-0899
(727) 458-5738
(808) 374-8311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18985
FL
Other
Enumeration date
03/06/2018
Last updated
02/14/2020
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