Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Elaine Mold, OTR/L

Individual provider Occupational Therapist · NPI 1134440381

Nicole Elaine Mold, OTR/L is an Occupational Therapist in Andover, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2010
What do these letters mean?
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

1891 Station Pkwy NW
Andover, MN 55304-4259
Phone: (763) 755-4275
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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 103477 (MN)

Record details

NPI number1134440381
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJune 22, 2010
Last updated in NPPESJune 22, 2010

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