Individual
MITAL PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 E WILSHIRE AVE, FULLERTON, CA 92832-1935
(714) 871-6020
Mailing address
3301 E YORBA LINDA BLVD, APT 245, FULLERTON, CA 92831
(714) 213-2734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA10184
CA
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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