Individual
CAROLE ANN CAPUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
(952) 746-5350
(952) 746-6131
Mailing address
3153 OLD HIGHWAY 8, #309A, ST ANTHONY, MN 55418-2583
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200764
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200764
MN LICENSE
MN
01
—
AA510909
NBCOT CERTIFICATION
MN
Enumeration date
06/29/2010
Last updated
06/29/2010
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