Individual provider · Type 1 NPI

Mary Elizabeth Nordgulen, OTR/L, C4T

Occupational Therapist · Eglin Afb, FL

NPI number 1316922552 Active

Practice location

307 Boatner Road, 96th Mdg
Eglin Afb, FL 32542

Fax (334) 836-2247

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X2098 (AL)
Occupational Therapist Primary 225X00000XOT1844 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1316922552

Mary Elizabeth Nordgulen, OTR/L, C4T's National Provider Identifier is 1316922552, issued on Dec 9, 2005. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Eglin Afb, FL. The record was last updated on Oct 17, 2011.