Individual
RICHARD PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23271 VERDUGO DR, #B, LAGUNA HILLS, CA 92653-1347
(949) 707-5555
Mailing address
800 PACIFIC AVE, #309, LONG BEACH, CA 90813-4282
(562) 432-5872
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
650
CA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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