Mrs. Mary Rose Nordlie
Occupational Therapist - Hand
8100 Northland Dr
Bloomington
, Minnesota 55431-4800
Mrs. Mary Rose Nordlie
Occupational Therapist - Hand
8100 Northland Dr
Bloomington
, Minnesota 55431-4800
(952) 941-0228
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Mrs. Mary Rose Nordlie
- 7600 W 84th St
- Bloomington, MN
- Zip : 55438-1304
- Phone : (952) 941-0228
Second Address
- Mrs. Mary Rose Nordlie
- 8100 Northland Dr
- Bloomington, MN
- Zip : 55431-4800
- Phone : (952) 831-8742
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | 100337 | MN |
National Provider Identifier
| NPI | 1073580502 |
|---|---|
| Provider Name | Mrs. Mary Rose Nordlie |
| First Address | Bloomington, MN 55438-1304 |
| Second Address | Bloomington, MN 55431-4800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2006 |
| Last Update Date | 18/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100337 | STATE OT LICENSE (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.