Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nichole J Wagner, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1841907300

Nichole J Wagner, OTD, OTR/L is an Occupational Therapist in Glen Ullin, North Dakota. Licensed in North Dakota. Registered with an NPI since 2022.

Licensed in
ND
In the registry since
2022
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

604 E Ash Ave
Glen Ullin, ND 58631-7138
Phone: (701) 348-3107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 1961 (ND)

Record details

NPI number1841907300
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedNovember 3, 2022
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

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