Heather Palmer

Individual provider Active NPI Occupational Therapy Assistant · Munising, MI

NPI 1205218286 · NPPES record last updated Jun 25, 2015

Key facts

NPI
1205218286
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
5202006966 (MI)
Practice address
300 City Park Dr
Munising, MI 49862-1130
Phone
(906) 387-2393
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5202006966MIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5202006966 MI Yes

Addresses

Primary practice location

300 City Park Dr
Munising, MI 49862-1130

Mailing address

300 City Park Dr
Munising, MI 49862-1130

Other providers in Munising, MI

All providers in Munising, MI · Occupational Therapy Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.