Individual provider · Type 1 NPI

Nicole Willis

Occupational Therapy Assistant · St. Cloud, MN

NPI number 1003614652 Active

Practice location

4801 Veterans Dr
St. Cloud, MN 56303-2015

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X201323 (MN)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1003614652

Nicole Willis's National Provider Identifier is 1003614652, issued on Mar 7, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in St. Cloud, MN. The record was last updated on Mar 7, 2025.