Provider Demographics
NPI:1013152552
Name:PALKO, JOSEPH DAVID (OTR/L, ABDA)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DAVID
Last Name:PALKO
Suffix:
Gender:M
Credentials:OTR/L, ABDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-2930
Mailing Address - Country:US
Mailing Address - Phone:570-498-0926
Mailing Address - Fax:570-343-7664
Practice Address - Street 1:1003 N KEYSER AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18504-9728
Practice Address - Country:US
Practice Address - Phone:570-343-7663
Practice Address - Fax:570-343-7664
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC-003261-L225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation