Individual
LOURDES M PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15207 SW 176TH LN, MIAMI, FL 33187-1620
(305) 209-5050
(305) 235-5050
Mailing address
15207 SW 176TH LN, MIAMI, FL 33187-1620
(305) 562-4493
(305) 235-5050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT17965
FL
2251P0200X
Pediatric Physical Therapist
Primary
17965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004481800
—
FL
Enumeration date
05/17/2006
Last updated
02/04/2019
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