Healthcare Provider Details

I. General information

NPI: 1013894732
Provider Name (Legal Business Name): DANIELLE THERESE PALMER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 E ROLLINS ST
ORLANDO FL
32804-5502
US

IV. Provider business mailing address

79 W HARDING ST
ORLANDO FL
32806-3904
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-8280
  • Fax:
Mailing address:
  • Phone: 305-742-7076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberPT40755
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: