Individual
AUDREY PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S WINCHESTER BLVD, SUITE 5, SAN JOSE, CA 95128-2901
(408) 241-7033
(408) 241-7027
Mailing address
21110 LOCUST DR, LOS GATOS, CA 95033-8637
(408) 353-4149
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 5204
CA
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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