MEDICARE: DR. GEOFFREY PALMER PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT872084	DC

General Provider Information

NPI Number	:	1316468150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEOFFREY PALMER PT, DPT

Provider Business Mailing Address
First Line	:	3606 JACKSON CABIN RD
Second Line	:
City	:	PHOENIX
State	:	MD
Zip	:	21131-1752
Country	:	US
Telephone Number	:	410-207-8666
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 NEW MEXICO AVE NW STE 318
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3624
Country	:	US
Telephone Number	:	202-363-0454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2017
Last Update Date	:	07/02/2017

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