Organization
METRO THERAPY SPECIAL CHILDREN'S CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY MARIE CHAPUT OTR/C (PRESIDENT)
(763) 572-2519
Entity
Organization
Contact information
Practice address
5155 E RIVER RD, SUITE 403, FRIDLEY, MN 55421-1025
(763) 572-2519
(763) 572-2616
Mailing address
5155 E RIVER RD, SUITE 403, FRIDLEY, MN 55421-1025
(763) 572-2519
(763) 572-2616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MN
235Z00000X
Speech-Language Pathologist
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01016321
PREFERRED ONE
MN
01
—
120622
U-CARE
—
05
—
156755100
—
MN
01
—
23738
HEALTH PARTNERS
—
01
—
2G055CH
BC/BS
MN
01
—
5G0765A
BC/BS
MN
Enumeration date
07/13/2005
Last updated
07/21/2022
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