Provider Demographics
NPI:1457603805
Name:PALMER, LINDA SUSAN (REHABILITATION SPECI)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUSAN
Last Name:PALMER
Suffix:
Gender:F
Credentials:REHABILITATION SPECI
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:115 FIFTH AVE. SOUTH, SUITE 506
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-8220
Mailing Address - Country:US
Mailing Address - Phone:608-789-5663
Mailing Address - Fax:
Practice Address - Street 1:115 FIFTH AVE. SOUTH, SUITE 506
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-8220
Practice Address - Country:US
Practice Address - Phone:608-789-5663
Practice Address - Fax:608-789-5664
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind