Nicole Tetrault, OTR

NPI #1568873644 in Shoreview, Minnesota

Provider Information

NPI Number: 1568873644
Entity Type: Individual
Name: Nicole Tetrault, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 12, 2014
Last Updated: Nov 29, 2022

Practice Location

Address: 490 HIGHWAY 96 W STE 300
City: Shoreview
State: Minnesota
ZIP Code: 55126-1961
Phone: (651) 451-3016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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