Provider Demographics
NPI:1316468150
Name:PALMER, GEOFFREY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:
Last Name:PALMER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 JACKSON CABIN RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:MD
Mailing Address - Zip Code:21131-1752
Mailing Address - Country:US
Mailing Address - Phone:410-207-8666
Mailing Address - Fax:
Practice Address - Street 1:3301 NEW MEXICO AVE NW STE 318
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3624
Practice Address - Country:US
Practice Address - Phone:202-363-0454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-02
Last Update Date:2017-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT872084225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist