Individual
MRS. ANNE MARIE PALMITIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4761 LAKE MICHIGAN DR NW, SUITE A, GRAND RAPIDS, MI 49534-6300
(616) 975-9078
(616) 975-9248
Mailing address
4586 LYTHAM DR, HUDSONVILLE, MI 49426-8987
(616) 975-9078
(616) 975-9248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010954
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20--0223019
TAX ID
MI
01
—
650D114040
BLUE CROSS BLUE SHIELD
MI
01
—
P33910F
BLUE CARE NETWORK
MI
Enumeration date
07/05/2005
Last updated
02/21/2013
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