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Individual

JOHN WILLIAM PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
11011 VILLAGE SQUARE LN, FISHERS, IN 46038-4559
(317) 827-8153
Mailing address
10410 SPLENDOR WAY, INDIANAPOLIS, IN 46234-3676
(317) 289-8894

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002340A
IN

Other

Enumeration date
02/12/2020
Last updated
02/12/2020
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