MRS. Mary Elizabeth Nordgulen, OTR/L, C4T

NPI #1316922552 in Eglin Afb, Florida

Provider Information

NPI Number
1316922552
Entity Type
Individual
Name
MRS. Mary Elizabeth Nordgulen, OTR/L, C4T
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTR/L, C4T
Enumeration Date
Dec 9, 2005
Last Updated
Oct 17, 2011

Practice Location

Address
307 BOATNER ROAD
Address 2
96TH MDG
State
Florida
ZIP Code
32542
Phone
(850) 883-8314

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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