Provider Demographics
NPI:1730644865
Name:PALMER, JAMIR OTIS
Entity Type:Individual
Prefix:MR
First Name:JAMIR
Middle Name:OTIS
Last Name:PALMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2058 MAPLE AVE APT G2-8
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-1430
Mailing Address - Country:US
Mailing Address - Phone:484-809-8276
Mailing Address - Fax:
Practice Address - Street 1:2058 MAPLE AVE APT G2-8
Practice Address - Street 2:
Practice Address - City:HATFIELD
Practice Address - State:PA
Practice Address - Zip Code:19440-1430
Practice Address - Country:US
Practice Address - Phone:484-809-8276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-03
Last Update Date:2019-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer