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NPI Code Detail

MEDICARE: MS. LAURIE A PALMER OTR

MEDICARE: MS. LAURIE A PALMER OTR
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
1225X00000XOccupational Therapist14046FL
2225X00000XOccupational Therapist111582TX
3225X00000XOccupational Therapist46TR00472700NJ
4225X00000XOccupational Therapist9527CA

General Provider Information

NPI Number : 1346563632
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURIE A PALMER OTR
Provider Business Mailing Address
First Line : 1600 37TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4863
Country : US
Telephone Number : 772-778-2100
Fax Number :
Provider Business Practice Location Address
First Line : 1600 37TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4863
Country : US
Telephone Number : 772-778-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2010
Last Update Date : 03/02/2010

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