Individual
MARVELL DERON TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
16 LAKE HUNTER DR, LAKELAND, FL 33803-1297
(863) 577-6063
(352) 382-1146
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 804-9961
(352) 382-1146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18447
FL
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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