Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marvell Deron Tolbert, OTA

Individual provider Occupational Therapy Assistant · NPI 1780341503

Marvell Deron Tolbert, OTA is an Occupational Therapy Assistant in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

16 Lake Hunter Dr
Lakeland, FL 33803-1297
Phone: (863) 577-6063
Fax: (352) 382-1146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA18447 (FL)

Record details

NPI number1780341503
Entity typeIndividual (Type 1)
GenderMale
Credentials OTA
Sole proprietorNo
NPI enumeratedNovember 29, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021
Mailing address8477 S Suncoast Blvd, Homosassa, FL 34446-5028

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