Provider Demographics
NPI:1508592098
Name:COOPER-PALMER, ANTOINETTE Y
Entity Type:Individual
Prefix:MISS
First Name:ANTOINETTE
Middle Name:Y
Last Name:COOPER-PALMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21930 SW 124TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-2735
Mailing Address - Country:US
Mailing Address - Phone:305-746-0159
Mailing Address - Fax:
Practice Address - Street 1:21930 SW 124TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-2735
Practice Address - Country:US
Practice Address - Phone:305-746-0159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist