Search › Florida › 225X00000X
Mary Nordgulen, OTR/L, C4T
NPI 1316922552 · on the registry since 2005
Practice
- Address
- 307 Boatner Road
96th Mdg
Eglin Afb, FL 32542 - Phone
- (850) 883-8314
- Fax
- (334) 836-2247
- Organisation at this address
- 96th Medgrp-Eglin
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 503
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- AL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida