Individual provider · Type 1 NPI

Nicole Tetrault, OTR

Occupational Therapist · Shoreview, MN

NPI number 1568873644 Active

Practice location

490 Highway 96 W Ste 300
Shoreview, MN 55126-1961

Call (651) 451-3016 Map

Other practice locations

  • 4638 Victor Path Ste 100, Hugo, MN 55038-4732 · (651) 407-3777

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XNone listed
Occupational Therapist Primary 225X00000X104647 (MN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

8 other providers at this address

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About NPI 1568873644

Nicole Tetrault, OTR's National Provider Identifier is 1568873644, issued on May 12, 2014. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Shoreview, MN. The record was last updated on Nov 29, 2022.