Nicole Elaine Mold, OTR/L - Occupational Therapist in Andover, MN

Nicole Elaine Mold, OTR/L is a Occupational Therapist based in Andover, Minnesota. Nicole Elaine Mold is licensed to practice in Minnesota (license number 103477) and her current practice location is 1891 Station Pkwy Nw, Andover, Minnesota. She can be reached at her office (for appointments etc.) via phone at (763) 755-4275.

NPI number for Nicole Elaine Mold is 1134440381 and her current mailing address is 4344 230th Ave Nw, Saint Francis, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134440381.

Contact Information

Nicole Elaine Mold, OTR/L
1891 Station Pkwy Nw,
Andover, MN 55304-4259
(763) 755-4275
Not Available



Healthcare Provider's Profile

Full NameNicole Elaine Mold
GenderFemale
SpecialityOccupational Therapist
Location1891 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134440381
  • Provider Enumeration Date: 06/22/2010
  • Last Update Date: 06/22/2010

Medical Identifiers

Medical identifiers for Nicole Elaine Mold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134440381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 103477 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Elaine Mold is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Elaine Mold, OTR/L
4344 230th Ave Nw,
Saint Francis, MN 55070-9504

Ph: () -
Nicole Elaine Mold, OTR/L
1891 Station Pkwy Nw,
Andover, MN 55304-4259

Ph: (763) 755-4275

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› Verified 6 days ago


Occupational Therapist in Andover, MN

Ellen Johnson, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Lisa Michelle Luke, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Mrs. Gina Maria Frattalone Bigelbach, MAOTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Suzanne Berg, M.S. OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Laura Bollig, M.A., OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Shelly Sontag-johnson,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    

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