Healthcare Provider Details

I. General information

NPI: 1568649911
Provider Name (Legal Business Name): ERIN LEIGH PALMER M.S OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14055 TOWN LOOP BLVD
ORLANDO FL
32837-6105
US

IV. Provider business mailing address

3309 BEAZER DR
OCOEE FL
34761-4613
US

V. Phone/Fax

Practice location:
  • Phone: 407-857-6285
  • Fax:
Mailing address:
  • Phone: 407-484-5371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number12541
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: