Individual
NICOLE GROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1313 30TH AVE S, MOORHEAD, MN 56560-5106
(218) 284-6486
Mailing address
1313 30TH AVE S, MOORHEAD, MN 56560-5106
(218) 284-6486
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102716
MN
225X00000X
Occupational Therapist
Primary
844
ND
Other
Enumeration date
09/25/2014
Last updated
05/01/2026
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