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Individual

JOSHUA DAVID PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1905 PARSONS AVE, COLUMBUS, OH 43207
(614) 586-4159
(614) 586-4252
Mailing address
2780 AIRPORT DRIVE, SUITE 100 - BILLING/CREDENTIALING DEPT., COLUMBUS, OH 43219-2289
(614) 645-5500
(614) 645-5517

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.07827
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13522026
CAQH
OH
01
PTA.07827
OCC THERAPY, PHYS THERAPY, & ATHLETIC TRAINERS BOARD
OH
Enumeration date
04/01/2015
Last updated
05/29/2018
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