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Individual

HEATHER PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1677 STATE ROUTE 65, ELLWOOD CITY, PA 16117
(724) 752-2716
Mailing address
114 PARK DR, ELLWOOD CITY, PA 16117-5018

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT017647
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1760607
HIGHMARK
PA
Enumeration date
10/25/2006
Last updated
07/08/2007
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