Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 17641 | CA |
N | 225XG0600X | Occupational Therapist - Gerontology | 17641 | CA |
N | 225XH1200X | Occupational Therapist - Hand | 17641 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 17641 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 17641 | CA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 17641 | CA |
NPI | 1588181838 |
---|---|
Provider Name | Meredith Nesline Palmer |
First Address | North Hills, CA 91343-5708 |
Second Address | North Hills, CA 91343-5708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2017 |
Last Update Date | 17/03/2018 |