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1861755522
DEMETRA MALVEAUX
LAKELAND, FL
NPI
1861755522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 10877)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
-- DEMETRA MALVEAUX OTA
3110 OAKBRIDGE BLVD E
LAKELAND, FL 33803-5987
Phone number: 863-648-4800
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Mailing Address
-- DEMETRA MALVEAUX OTA
425 OAKLANDING BLVD
MULBERRY, FL 33860-7644
Phone number: 863-899-8099
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