Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 226300000X | Kinesiotherapist | ||
N | 226300000X | Kinesiotherapist | 1106 | OH |
NPI | 1952521957 |
---|---|
Provider Name | Mr. Joseph Palmer |
First Address | Raleigh, NC 27604-2078 |
Second Address | Raleigh, NC 27601-2341 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/07/2007 |