Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251P0200X | Physical Therapist - Pediatrics | 2305212464 | VA |
Y | 2251P0200X | Physical Therapist - Pediatrics | 33783 | CA |
NPI | 1033350079 |
---|---|
Provider Name | Kristin Linn Palmer |
First Address | Fairfax, VA 22030-7475 |
Second Address | Fairfax, VA 22030-7475 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2009 |
Last Update Date | 02/02/2022 |