Provider Demographics
NPI:1316197551
Name:PALMA, ELIZABETH KATHERINE (OTR/L)
Entity Type:Individual
Prefix:PROF
First Name:ELIZABETH
Middle Name:KATHERINE
Last Name:PALMA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
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Mailing Address - Street 1:PO BOX 136
Mailing Address - Street 2:
Mailing Address - City:GHENT
Mailing Address - State:NY
Mailing Address - Zip Code:12075-0136
Mailing Address - Country:US
Mailing Address - Phone:518-821-2185
Mailing Address - Fax:518-672-4356
Practice Address - Street 1:145 CARPENTER ROAD
Practice Address - Street 2:
Practice Address - City:GHENT
Practice Address - State:NY
Practice Address - Zip Code:12075
Practice Address - Country:US
Practice Address - Phone:518-821-2185
Practice Address - Fax:518-672-4356
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY010037-1171W00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No171W00000XOther Service ProvidersContractor