Provider Demographics
NPI:1811666365
Name:NORDIN, EMILY LOUISE (MOT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:LOUISE
Last Name:NORDIN
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21203 WELSH RD
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-1018
Mailing Address - Country:US
Mailing Address - Phone:269-567-8437
Mailing Address - Fax:
Practice Address - Street 1:21203 WELSH RD
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-1018
Practice Address - Country:US
Practice Address - Phone:269-567-8437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist