Individual
NATHANIEL ROHAN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3350 W SOUTHPORT RD, KISSIMMEE, FL 34746-2706
(407) 846-0152
Mailing address
1804 SUPERIOR CT, KISSIMMEE, FL 34759-5345
(863) 512-5052
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32111
FL
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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