Doctor Name: | MARIANNE HEVLY NORDEN |
NPI Number: | 1003869132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | OT00001604 |
Business Practice Address: | 1818 S Union Ave St 1b Tacoma, WA - 984051953 |
Business Phone Number: | 2535796339 |
Business Fax Number: | 2536277014 |
Mailing Address: | 1818 S Union Ave, St 1b TACOMA |
State: | WA |
Postal Code: | 984051953 |
Phone Number: | 2535796339 |
Fax Number: | 2536277014 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 02/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OT00001604 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |