Individual
DEMETRA MALVEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3110 OAKBRIDGE BLVD E, LAKELAND, FL 33803-5987
(863) 648-4800
Mailing address
425 OAKLANDING BLVD, MULBERRY, FL 33860-7644
(863) 899-8099
(863) 816-3266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10877
FL
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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