Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 1196 | CA |
NPI | 1346691375 |
---|---|
Provider Name | Frances Palmer |
First Address | La Quinta, CA 92247-1655 |
Second Address | La Quinta, CA 92247-7001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2016 |
Last Update Date | 30/06/2016 |