MRS. MARY ROSE NORDLIE OTR CHT NPI 1073580502

NPI Information

NPI: 1073580502
Provider Name: MRS. MARY ROSE NORDLIE, OTR, CHT
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
8100 NORTHLAND DR
BLOOMINGTON, MN
ZIP 55431
Phone: (952) 831-8742
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MRS. Mary Rose Nordlie, OTR, CHT is a hand occupational therapist in Bloomington, MN. MRS. Mary Rose Nordlie, OTR, CHT NPI is 1073580502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8100 NORTHLAND DR
BLOOMINGTON, MN
ZIP 55431-800
Phone: (952) 831-8742

The enumeration date for this NPI number is 3/3/2006 and was last updated on 1/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	100337	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100337	OTHER	MINNESOTA	STATE OT LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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