Individual
SAMUEL MALVE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7014 BEARGRASS RD, HARMONY, FL 34773-9179
(813) 841-7465
Mailing address
7014 BEARGRASS RD, HARMONY, FL 34773-9179
(813) 841-7465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
336269
FL
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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