Individual
KAITLYN ROSE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
951 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601
(352) 345-8836
Mailing address
335 NE 10TH AVE., CRYSTAL RIVER, FL 34429
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125163500
—
FL
Enumeration date
10/24/2024
Last updated
01/09/2025
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