Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARY ELIZABETH NORDGULEN, OTR/L, C4T

Active

MRS. MARY ELIZABETH NORDGULEN, OTR/L, C4T is a Occupational Therapist healthcare provider located in EGLIN AFB, Florida. NPI 1316922552 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · EGLIN AFB, FL

Registration Details

NPI Number: 1316922552
Provider Type: Individual
Gender: Female
NPI Issued: Dec 9, 2005 (20.640802389068 yrs)
Last Updated: Oct 17, 2011
Licenses: 2098 (AL)

OT1844 (FL)

Practice Information

Address: 307 BOATNER ROAD

96TH MDG

EGLIN AFB, FL, 32542
Browse FL providers · Browse ZIP 32542
Phone: 8508838314
Fax: 3348362247
Primary Specialty: Occupational Therapist
225X00000X
Additional Specialty: Occupational Therapist

Other Occupational Therapist Providers in EGLIN AFB, FL

Name	Credential	NPI
DEBRA SJOHN SECREST	OCCUPATIONAL THERAPI	1649205147
FRANK RICHARD PASCARELLI	OTR/L, BCMH, NMSE	1013091073
CANDICE BABJAK	OTR/L	1659494383
MEGHAN BREMS	MOT, OTR/L	1932428844
MR. WILLIAM CRAIG SOUCY	OTR/L	1235605148
ALEXANDRIA KLUTTZ WALLACE	OTD, OTR	1386424687

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.