Individual ProviderPuthida Isabelle ChauPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address550 Osborne Rd NE, Fridley, MN 55432-2718(763) 236-3000(612) 239-3127PECOS EnrollmentBased on the most recent information from CMS, provider Puthida Isabelle Chau does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1225151772Provider TypeIndividualFull NameChau, Puthida IsabelleTitleDr.CredentialDPTGenderFemaleSole ProprietorNoEnumeration Date4/9/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address550 Osborne Rd NE, Fridley, MN 55432-2718Phone(763) 236-3000FaxUnlisted FaxMailing LocationMailing Address3393 Northdale Blvd NW, Apt 305, Coon Rapids, MN 55448-1619Phone(612) 239-3127FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense7750Minnesota