NPI 1003614652

Nicole Willis

Practitioner Occupational Therapy Assistant Saint Cloud, MN

Practice location

Address: 4801 Veterans Dr, Saint Cloud, MN 56303-2015
Phone: (320) 252-1670

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 201323 (MN)

Other Occupational Therapy Assistant providers in Minnesota →

Registry record

NPI: 1003614652
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2025
Record last updated: 7 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.