Brent Alan Nordquist, COTA
Occupational Therapy Assistant in Hammond, WI. Individual provider (NPI-1).
NPI number1356972137
StatusActive
Last updated in NPPESJan 30, 2020
Details
- NPI
- 1356972137
- Entity type
- Individual (NPI-1)
- Name
- Brent Alan Nordquist
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2020
- Certification date
- Jan 30, 2020
- Last updated
- Jan 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 5620-27 | WI | Yes |
Practice location
425 Davis StHammond, WI 54015-9615
Phone 715-688-9174
Mailing address
425 Davis StHammond, WI 54015-9615
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Hammond, WI
- Elizabeth Ann Brown, COTANPI 1598278988
- Crystal Friske, C.O.T.A.NPI 1023498235
- Melissa Herbst, COTANPI 1134518459
- Karla Lynn Jacobson, COTANPI 1619287026
- Breauanna Nina Jennings, COTANPI 1770009367
- Angela Rose Kjellberg, COTANPI 1871858977
- Cherri PetersonNPI 1184098477
All 8 Occupational Therapy Assistant providers in Hammond · All 33 providers in Hammond
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