Individual
MRS. MAUREEN ELIZABETH PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CIMT
Contact information
Practice address
25811 W 12 MILE RD, SUITE 101, SOUTHFIELD, MI 48034-1896
(248) 356-7415
(248) 356-7416
Mailing address
38062 ROSS ST, LIVONIA, MI 48154-4865
(734) 462-8447
(734) 542-9947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
MP000744
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7506643
AETNA
MI
Enumeration date
07/26/2006
Last updated
02/20/2008
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