Individual
MRS. MARY ANN EDELL NORDVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
503 S 18TH ST, LARAMIE, WY 82070-4303
(307) 742-3728
(307) 721-2002
Mailing address
5285 BROWNING DR, CHEYENNE, WY 82007-3553
(307) 635-3846
(307) 635-3846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
641
WY
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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