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Contact Information

NICOLE E LETENDRE, OTR,L
5406 MERLE HAY ROAD
JOHNSTON, IA50131
 Phone: 612-747-8032
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NICOLE E LETENDRE · (Female)

NPI # 1700903788
Status Active
Credentials OTR,L
Entity Individual
Enumeration date 03/23/2007
Last updated 06/12/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 103272
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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