Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT00001604 | WA |
N | 225XH1200X | Occupational Therapist - Hand | OT00001604 | WA |
NPI | 1003869132 |
---|---|
Provider Name | Marianne Hevly Norden |
First Address | Tacoma, WA 98417-0235 |
Second Address | Tacoma, WA 98405-4758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 24/12/2020 |