Individual
ANGELA AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 WALDEN CT, BURNSVILLE, MN 55337-3600
(651) 470-2326
Mailing address
1000 WALDEN CT, BURNSVILLE, MN 55337-3600
(651) 470-2326
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100510
MN
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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