Provider Demographics
NPI:1013410554
Name:SAENZ, NORA (OTRL)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:SAENZ
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5189 OLEN CT SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-6570
Mailing Address - Country:US
Mailing Address - Phone:616-516-6932
Mailing Address - Fax:
Practice Address - Street 1:8333 FELCH ST STE 101
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-2608
Practice Address - Country:US
Practice Address - Phone:616-772-5795
Practice Address - Fax:616-741-5622
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000307225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist