Individual provider · Type 1 NPI

Nicole Tellander, OTR/L

Occupational Therapist · Coon Rapids, MN

NPI number 1790291409 Active

Practice location

2104 Northdale Blvd NW Ste 100
Coon Rapids, MN 55433-3045

Fax (763) 862-0342

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X6188 (WI)
Occupational Therapist Primary 225X00000X106099 (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…

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About NPI 1790291409

Nicole Tellander, OTR/L's National Provider Identifier is 1790291409, issued on Dec 18, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Dec 30, 2025.