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

Nicole Mundstock, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1679930028

Nicole Mundstock, OTR/L is a Pediatric Occupational Therapist in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
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

500 N Bullard Ave C27
Goodyear, AZ 85338-2533
Phone: (623) 986-5110
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 6444 (AZ)

Record details

NPI number1679930028
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 15, 2016
Last updated in NPPESJanuary 15, 2016

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