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Individual
MRS. MARY ELIZABETH NORDGULEN
Active
Individual
MRS. MARY ELIZABETH NORDGULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, C4T
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2098
AL
225X00000X
Occupational Therapist
Primary
OT1844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891009320
—
AL
05
—
891009330
—
AL
05
—
891009340
—
AL
Enumeration date
12/09/2005
Last updated
10/17/2011
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