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Organization
MERIT TELEHEALTH, LLC
Active
Organization
MERIT TELEHEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI BURKARD P.T. (PHYSICAL THERAPIST/PARTNER)
(773) 459-5193
Entity
Organization
Contact information
Practice address
3069 PORTARLIGTON LN, FITCHBURG, WI 53711-6920
(773) 459-5193
Mailing address
3069 PORTARLIGTON LN, FITCHBURG, WI 53711-6920
(773) 459-5193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/26/2019
Last updated
05/27/2020
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