Provider Demographics
NPI:1053299545
Name:PALISIN, SKYLAR (OTR/L)
Entity type:Individual
Prefix:
First Name:SKYLAR
Middle Name:
Last Name:PALISIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32300 MONROE CT APT 205
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5754
Mailing Address - Country:US
Mailing Address - Phone:216-544-5457
Mailing Address - Fax:
Practice Address - Street 1:799 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-3658
Practice Address - Country:US
Practice Address - Phone:440-439-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-23
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT013397225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist