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NPI Code Detail

MEDICARE: MRS. JAMIE LYNN PALMER DROTR/L

MEDICARE: MRS. JAMIE LYNN PALMER DROTR/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 TherapistOT 60282841WA
2225XP0200XPediatric Occupational Therapist2174WV

General Provider Information

NPI Number : 1548511793
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAMIE LYNN PALMER DROTR/L
Provider Business Mailing Address
First Line : 888 OAKWOOD RD STE 300
Second Line :
City : CHARLESTON
State : WV
Zip : 25314-2071
Country : US
Telephone Number : 681-265-0999
Fax Number :
Provider Business Practice Location Address
First Line : 888 OAKWOOD RD STE 300
Second Line :
City : CHARLESTON
State : WV
Zip : 25314-2071
Country : US
Telephone Number : 681-265-0999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2012
Last Update Date : 08/18/2024

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