Individual
GINA MARRA DEMAAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
10557 CORAL KEY AVE, TAMPA, FL 33647-3461
(813) 907-7170
Mailing address
10557 CORAL KEY AVE, TAMPA, FL 33647-3461
(813) 907-7170
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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