Individual
MRS. ALICIA Z PALMISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ATC
Contact information
Practice address
3436 TEXAS AVE, KENNER, LA 70065-3829
(504) 669-0305
(504) 305-3399
Mailing address
3436 TEXAS AVE, KENNER, LA 70065-3829
(504) 669-0305
(504) 305-3399
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT.002131
OH
2255A2300X
Athletic Trainer
Primary
ATH.J00271
LA
Other
Enumeration date
03/08/2006
Last updated
02/28/2011
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