NICOLE TETRAULT, OTR
Occupational Therapist
Active
Individual
NPI: 1568873644
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | 104647 (MN) |
Frequently Asked Questions
NPI 1568873644 is the National Provider Identifier for NICOLE TETRAULT, OTR, a Occupational Therapist provider located in Shoreview, MN. This NPI was enumerated on May 12, 2014.
NICOLE TETRAULT, OTR practices at 490 HIGHWAY 96 W STE 300, Shoreview, MN 55126.
Quick Facts
- NPI
- 1568873644
- Type
- Individual
- Enumerated
- May 12, 2014
- Last Updated
- Nov 29, 2022
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