Individual
RENEE FAIRS PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
(607) 798-7117
Mailing address
1026 BRIARWOOD DR, ENDICOTT, NY 13760-7127
(607) 754-3849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003301-1
NY
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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