Individual
DERRICK PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
436 MAGNOLIA AVE, GURNEE, IL 60031-2921
(224) 201-7171
Mailing address
436 MAGNOLIA AVE, GURNEE, IL 60031-2921
(224) 201-7171
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.000210
IL
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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