Mary Ann Edell Nordvik OTR

NPI 1679770754 - Occupational Therapist - 225X00000X

NPI Details
NPI 1679770754
Gender Female
Enumeration Date 07/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
503 S 18TH ST
LARAMIE WY, 82070-4303, US
Phone (307) 742-3728
Fax (307) 721-2002
Business Location
CHEYENNE WY, 82007-3553, US
Phone (307) 635-3846
Fax (307) 635-3846
Taxonomy Code 225X00000X
License State Wyoming
License Number 641
Remove 1679770754 NPI Number

According to our database, Mrs. Mary Ann Edell Nordvik OTR NPI is 1679770754, taxonomy code is 225X00000X and license number is 641, license state is located at Wyoming. Mary Ann Edell Nordvik OTR physically located at 503 S 18th St, Laramie WY, 82070-4303. NPI Number Mary Ann Edell Nordvik OTR has the Individual type.

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1679770754 NPI number is provided on an as is basis without warranty of any kind. 1679770754 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ann Edell Nordvik OTR are for informational purposes only.