Individual
CHRISTINE JENNETTE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
317 OPPITZ LN, LAKELAND, FL 33803-4425
(863) 660-9090
Mailing address
317 OPPITZ LN, LAKELAND, FL 33803-4425
(863) 660-9090
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16326
FL
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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