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NPI Code Detail

MEDICARE: DR. ERICA DANYELLE PALMER DPT

MEDICARE:  DR. ERICA DANYELLE PALMER  DPT
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
1225100000XPhysical Therapist2305212406VA

General Provider Information

NPI Number : 1992288237
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERICA DANYELLE PALMER DPT
Provider Business Mailing Address
First Line : 2743 MANHATTAN PL
Second Line :
City : VIENNA
State : VA
Zip : 22180-7345
Country : US
Telephone Number : 504-782-7939
Fax Number :
Provider Business Practice Location Address
First Line : 5695 KING CENTRE DR STE 102
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22315-5746
Country : US
Telephone Number : 703-924-2650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2018
Last Update Date : 09/12/2018

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Directions to “ DR. ERICA DANYELLE PALMER DPT” Practice Location

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