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Individual

MR. DAVIS MONTGOMERY PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2 GRIFFITH RD, GREENVILLE, SC 29607-3503
(864) 276-8583
Mailing address
959 SHIP WRECK PL, INMAN, SC 29349-7264
(864) 884-7530

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2805
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3401322
NC
05
TH4433
SC
Enumeration date
10/20/2010
Last updated
01/18/2021
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