Provider Demographics
NPI:1952078420
Name:TELETHERAPY SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:TELETHERAPY SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERY
Authorized Official - Middle Name:ESMERALDA
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:954-554-9095
Mailing Address - Street 1:8424 DAWSON LN
Mailing Address - Street 2:
Mailing Address - City:LOCUST
Mailing Address - State:NC
Mailing Address - Zip Code:28097-9418
Mailing Address - Country:US
Mailing Address - Phone:954-554-9095
Mailing Address - Fax:
Practice Address - Street 1:8424 DAWSON LN
Practice Address - Street 2:
Practice Address - City:LOCUST
Practice Address - State:NC
Practice Address - Zip Code:28097-9418
Practice Address - Country:US
Practice Address - Phone:954-554-9095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty