Individual
MRS. MICHONNE MARIE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
14676 W UPRIGHT ST, CHARLEVOIX, MI 49720-1201
(231) 267-8012
Mailing address
604 TERRACE DR, TRAVERSE CITY, MI 49686-3548
(231) 944-2015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002955
MI
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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