Most Relevant Information
Provider Data
| NPI Number: | 1003079641 |
| Provider Name: | AUDREY MARIE CHAPUT OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 100147 |
Most Important Dates
| Enumeration Date: | 07/03/2008 |
| Last Updated: | 03/05/2012 |
Provider Practice Location
750 WILDRIDGE CT
MAHTOMEDI
MN
551152808
Practice Location Phone/Fax
| Phone: | 6128674513 |
| Fax: |
Provider Mailing Location
750 WILDRIDGE CT
MAHTOMEDI
MN
551152808
Provider Mailing Phone/Fax
| Phone: | 6128674513 |
| Fax: |