Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Elizabeth Nordgulen, OTR/L, C4T

Individual provider Occupational Therapist · NPI 1316922552

Mrs. Mary Elizabeth Nordgulen, OTR/L, C4T is an Occupational Therapist in Eglin AFB, Florida. Licensed in Alabama and Florida. Registered with an NPI since 2005.

Licensed in
AL, FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Practice location Address checks out

307 Boatner Road 96th Mdg
Eglin AFB, FL 32542
Phone: (850) 883-8314
Fax: (334) 836-2247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT1844 (FL)
Occupational Therapist Taxonomy 225X00000X · Licence 2098 (AL)

Record details

NPI number1316922552
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L , C4T
Sole proprietorNo
NPI enumeratedDecember 9, 2005
Last updated in NPPESOctober 17, 2011

Other providers in Eglin AFB