Individual
GARY LYNN PALMER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1008 TAVERN RD STE 200, MARTINSBURG, WV 25401-2801
(304) 267-0866
(304) 267-8348
Mailing address
110 ZENITH DR, HEDGESVILLE, WV 25427-5732
(304) 886-2373
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001913
WV
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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