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NPI Code Detail

MEDICARE: DANIELLE PALMER OTR/L

MEDICARE: DANIELLE PALMER OTR/L
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 Therapist16-0821NV

General Provider Information

NPI Number : 1346785581
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE PALMER OTR/L
Provider Business Mailing Address
First Line : 10809 CAIN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-5124
Country : US
Telephone Number : 702-349-7159
Fax Number :
Provider Business Practice Location Address
First Line : 11091 KILKERRAN CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-4356
Country : US
Telephone Number : 702-381-1839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2016
Last Update Date : 05/25/2022

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Directions to “ DANIELLE PALMER OTR/L” Practice Location

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