Individual
JENNIFER L CHAPUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1345 WESTGATE CENTER DR, SUITE B, WINSTON SALEM, NC 27103-3040
(336) 397-0163
(336) 397-0161
Mailing address
5912 PURITAN LN, WINSTON SALEM, NC 27103-9740
(336) 529-9670
(336) 397-0161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9130
NC
Other
Enumeration date
11/29/2006
Last updated
02/27/2014
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