Provider Demographics
NPI:1285704841
Name:PALMER, MARGARET MARINELL (OTRL)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MARINELL
Last Name:PALMER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MS
Other - First Name:MEG
Other - Middle Name:M
Other - Last Name:PALMR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTRL
Mailing Address - Street 1:815 PALMER HILL RD
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-6385
Mailing Address - Country:US
Mailing Address - Phone:530-877-5071
Mailing Address - Fax:530-877-5071
Practice Address - Street 1:2404 MARIGOLD AVE
Practice Address - Street 2:LOMA VISTA MTU
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1615
Practice Address - Country:US
Practice Address - Phone:530-879-7408
Practice Address - Fax:530-895-6640
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 1043225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACGP169164OtherCCS PANEL PROVIDER NUMBER
CAPF0989OtherFNRC VENDOR NUMBER
377739OtherAMERICAN OT ASSOCIATION