Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 100911 | MN |
NPI | 1134182322 |
---|---|
Provider Name | Jodi Beth Chaplin |
First Address | Saint Paul, MN 55104-3733 |
Second Address | Saint Paul, MN 55102-2383 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 02/01/2008 |