Individual
PETER J NORDLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2300 53RD AVE, BETTENDORF, IA 52722-7564
(563) 332-4422
Mailing address
333 S HARRISON ST, LANCASTER, WI 53813-1634
(608) 723-5241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01704
IA
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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