Individual
NICOLE TELLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2104 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 55433-3045
(763) 862-0342
(763) 862-0342
Mailing address
2104 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 55433-3045
(763) 755-5495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106099
MN
225X00000X
Occupational Therapist
6188
WI
Other
Enumeration date
12/18/2017
Last updated
12/30/2025
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