Individual
JENNIFER NORDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1414 W BROADWAY RD, STE 218, TEMPE, AZ 85282-1133
(480) 449-3331
(480) 753-9428
Mailing address
1414 W BROADWAY RD, SUITE218, TEMPE, AZ 85282-1133
(480) 449-3331
(480) 753-9428
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
281
AZ
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
281
AZ
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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