Provider Demographics
NPI:1801068721
Name:RODMAN, NANCY ANN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:RODMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:ANN
Other - Last Name:PALATNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3825 E BEAVER VISTA RD
Mailing Address - Street 2:
Mailing Address - City:RIMROCK
Mailing Address - State:AZ
Mailing Address - Zip Code:86335-5458
Mailing Address - Country:US
Mailing Address - Phone:623-521-5387
Mailing Address - Fax:
Practice Address - Street 1:3825 E BEAVER VISTA RD
Practice Address - Street 2:
Practice Address - City:RIMROCK
Practice Address - State:AZ
Practice Address - Zip Code:86335-5458
Practice Address - Country:US
Practice Address - Phone:623-521-5387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0311225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist