Stephanie Palmer
Specialist/Technologist, Athletic Trainer in Lady Lake, FL. Individual provider (NPI-1).
NPI number1124471925
StatusActive
Last updated in NPPESJul 16, 2016
Details
- NPI
- 1124471925
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Palmer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2016
- Last updated
- Jul 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL1860 | FL | Yes |
Practice location
39845 Magnolia StLady Lake, FL 32159-3448
Phone 352-205-0884
Mailing address
39845 Magnolia StLady Lake, FL 32159-3448
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