Individual
MR. RILEY PALMER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 E LA CANADA BLVD, AVONDALE, AZ 85323-1643
(623) 932-2282
Mailing address
350 E LA CANADA BLVD, AVONDALE, AZ 85323-1643
(623) 932-2282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
15-0587
NV
225X00000X
Occupational Therapist
5201008278
MI
225X00000X
Occupational Therapist
Primary
OTH-006694
AZ
Other
Enumeration date
07/30/2015
Last updated
11/09/2018
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