Individual
KANDRA LEE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
10827 SW STONY CREEK WAY, PORT ST LUCIE, FL 34987-2746
(772) 345-4960
Mailing address
6215 5TH ST, VERO BEACH, FL 32968-9654
(603) 558-0265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0109
NH
224Z00000X
Occupational Therapy Assistant
073.0097969
VT
224Z00000X
Occupational Therapy Assistant
Primary
13685
FL
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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