Individual
JULIE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
Mailing address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0021101
NY
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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