Individual
PRESLEY DEAN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 COUNTY ROAD 1207, VINEMONT, AL 35179-6913
(256) 620-6858
Mailing address
325 COUNTY ROAD 1207, VINEMONT, AL 35179-6913
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5927
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ULA878A76786
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/02/2022
Last updated
09/02/2022
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