Individual
SARAH PUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
130 PARKWAY PLZ, KOSCIUSKO, MS 39090-3217
(662) 289-3588
(662) 289-3533
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 206-6100
(601) 206-6100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3351
MS
Other
Enumeration date
12/18/2017
Last updated
11/06/2019
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