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

Individual provider Occupational Therapist · NPI 1790291409

Nicole Tellander, OTR/L is an Occupational Therapist in Coon Rapids, Minnesota. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2017.

Licensed in
MN, WI
In the registry since
2017
Specialties on file
2
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

2104 Northdale Blvd NW Ste 100
Coon Rapids, MN 55433-3045
Phone: (763) 862-0342
Fax: (763) 862-0342
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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 106099 (MN)
Occupational Therapist Taxonomy 225X00000X · Licence 6188 (WI)

Record details

NPI number1790291409
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 18, 2017
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

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