Individual
MARLEE WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
606 S 9TH ST, LEESBURG, FL 34748-6320
(352) 805-4404
Mailing address
20520 WIYGUL RD, UMATILLA, FL 32784-8879
(352) 602-3660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18011
FL
Other
Enumeration date
01/14/2021
Last updated
12/04/2025
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