Individual
JEREMY NORDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
95 WALTHALL RD, RUSSELLVILLE, AR 72802-8707
(501) 837-6772
Mailing address
95 WALTHALL RD, RUSSELLVILLE, AR 72802-8707
(501) 837-6772
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT17581
CA
225X00000X
Occupational Therapist
Primary
OTR2824
AR
Other
Enumeration date
04/02/2019
Last updated
01/28/2020
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