| Doctor Name: | MR. MARK PALMER |
| NPI Number: | 1275512402 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT 2236 |
| Business Practice Address: | 825 N Broadway Ave Suite 400 Oklahoma City, OK - 731026012 |
| Business Phone Number: | 4056093670 |
| Business Fax Number: | 4056058638 |
| Mailing Address: | 1091 S Cornwell Dr, YUKON |
| State: | OK |
| Postal Code: | 730994554 |
| Phone Number: | 4053546698 |
| Fax Number: | 4053546609 |
| NPI Enumeration Date: | 01/16/2006 |
| NPI Last Update Date: | 01/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 2236 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |