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Organization
ONLINE TELEHEALTH LLC
Active
Organization
ONLINE TELEHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN STACY (CEO)
(423) 741-9662
Entity
Organization
Contact information
Practice address
232 MAIN ST, SAFETY HARBOR, FL 34695-3643
(423) 741-9662
Mailing address
2803 GULF TO BAY BLVD, CLEARWATER, FL 33759-4014
(423) 741-9662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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