Individual
HEATHER ROCHELLE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
10317 LAKE TAHOE DR, FORT WAYNE, IN 46804-6915
(260) 437-3083
Mailing address
10317 LAKE TAHOE DR, FORT WAYNE, IN 46804-6915
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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