Presley Dean Palmer

Individual provider Active NPI Occupational Therapy Assistant · Vinemont, AL

NPI 1881315331 · NPPES record last updated Sep 2, 2022

Key facts

NPI
1881315331
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
5927 (AL)
Practice address
325 County Road 1207
Vinemont, AL 35179-6913
Phone
(256) 620-6858
NPI assigned
Sep 2, 2022
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
5927ALMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5927 AL Yes

Addresses

Primary practice location

325 County Road 1207
Vinemont, AL 35179-6913

Mailing address

325 County Road 1207
Vinemont, AL 35179-6913

Other identifiers

IdentifierTypeStateIssuer
ULA878A76786OtherALBLUE CROSS BLUE SHIELD

Other providers in Vinemont, AL

All providers in Vinemont, AL · Occupational Therapy Assistant in Alabama

Sources for this page

Verify at the official NPI Registry.