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NPI Code Detail

MEDICARE: ANA M PALMER PTA

MEDICARE:   ANA M PALMER  PTA
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
1225200000XPhysical Therapy Assistant19381FL

General Provider Information

NPI Number : 1437127784
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA M PALMER PTA
Provider Business Mailing Address
First Line : 13 BONNIE CT N
Second Line :
City : HOMOSASSA
State : FL
Zip : 34446-4962
Country : US
Telephone Number : 352-382-7690
Fax Number :
Provider Business Practice Location Address
First Line : 502 W HIGHLAND BLVD
Second Line :
City : INVERNESS
State : FL
Zip : 34452-4720
Country : US
Telephone Number : 352-344-1175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2006
Last Update Date : 07/08/2007

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Directions to “ ANA M PALMER PTA” Practice Location

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