Individual
MARY K PUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 N PERRY ST, JOHNSTOWN, NY 12095-1014
(518) 775-0063
Mailing address
121 HALL AVE, JOHNSTOWN, NY 12095-1615
(518) 775-0063
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006168-1
NY
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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