Provider Demographics
NPI:1285973669
Name:PALMIERI, PAUL S (PT)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:S
Last Name:PALMIERI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6208 ISLEWORTH DR
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5426
Mailing Address - Country:US
Mailing Address - Phone:804-303-6639
Mailing Address - Fax:
Practice Address - Street 1:6208 ISLEWORTH DR
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5426
Practice Address - Country:US
Practice Address - Phone:804-303-6639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006588225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist