Individual
MR. SCOTT DAVID NORDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
14145 SIMONE DR, SHELBY TWP, MI 48315-3228
(586) 566-6280
Mailing address
11874 CANTERBURY DR, STERLING HEIGHTS, MI 48312-3019
(586) 825-2003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007091
MI
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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