Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Nicholls, MOT

Individual provider Occupational Therapist · NPI 1629715719

Andrea Nicholls, MOT is an Occupational Therapist in Glendale, Arizona. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

5281 N 99th Ave Ste 200
Glendale, AZ 85305-3199
Phone: (623) 889-0411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1629715719
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022

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