Occupational Therapy | OCC Outpatient Therapy

Occupational Therapy

Outpatient Therapy


The occupational therapist’s approach to rehabilitation is a holistic one that goes beyond an isolated upper limb injury to include the entire person and each individual’s functional needs and roles. The ultimate goal is the patient’s return to participation in his or her daily activities.


To be certified, one must have minimum of five years of clinical experience, including 4,000 hours or more in direct practice in hand therapy and successfully pass a comprehensive test of advanced clinical skills and theory in upper limb rehabilitation

Our OT’s combine occupational therapy theory and practice that combines comprehensive knowledge of the upper limb with function and activity. Using specialized skills in assessment, planning and treatment, CHT’s provide therapeutic interventions to prevent dysfunction, restore function and/or reverse the progression of pathology of the upper limb in order to enhance an individual’s ability to execute tasks and to participate fully in life situations.


  • Adhesions or tightness (e.g., musculotendinis, capsular)
  • Amputations
  • Arthritis and rheumatic diseases
  • Congenital anomalies/differences
  • Crush injuries
  • Cumulative trauma disorders
  • Developmental disabilities
  • Dislocations and subluxations
  • Dupuytren's disease
  • Edema
  • Fractures
  • Infections
  • Ligamentous injury and instability
  • Muscular strains, tears, and avulsions
  • Nerve injuries and conditions (e.g., neuropathies, palsies, nerve repairs)
  • Neuromuscular diseases – ALS, MS, MD
  • Pain (e.g. complex regional pain syndrome)
  • Replantation and revascularization
  • Spinal cord and central nervous system injuries
  • Tendon injuries and conditions (e.g., lacerations, transfers, tendonitis, ruptures)
  • Thermal and electrical injuries
  • Vascular disorders
  • Wounds and scars


  • Compression therapy
  • Desensitization
  • Design and/or selection of adaptive/assistive devices
  • Ergonomic and activity modification in home, work, school or leisure
  • Exercise
  • Functional activity
  • Joint protection instruction/energy conservation instruction
  • Manual therapy
  • Modalities
  • Splint design, selection, fitting, fabrication and training:
  • Patient education
  • Prosthetics
  • Scar Management
  • Sensory re-education
  • Training in ADL/adaptive/assistive devices
  • Wellness education
  • Work conditioning
  • Work hardening
  • Wound care

Danielle Sandstrom, MOTR/L, CHT

Along with her Masters in OT, she is nationally certified as a hand therapist and has worked in the field since 2003.

Nicole Kutch, OTR/L, CHT, CLTA

Veteran OT with 20 plus years, she is a nationally certified hand therapist and certified lymphedema therapist. Nicole has experience in a range of clinics & specialty units throughout the U.S.

Amanda Hetzler, MOTR/L

Masters degree in Occupational Therapy, and she is working on her hand therapy certification.

Kara Thomas, COTA/L, CLT

Certified occupational therapy assistant, and certified in lymphedema therapy.

Combined, our staff has the expertise and knowledge to assist any individual in their rehabilitation needs so they may participate in their daily activities.

 Providers in this field:
 (hover or click to view more details)

Krystal Butgereit MOT, OTR/L

Krystal Butgereit grew up in North Dakota and received her Master's Degree in Occupational Thera --More--

Chelsey Reiter MOT, OTR/L

Chelsey Reiter grew up in Northwest Minnesota and received her Master's Degree in Occupational T --More--