Individual
HAILEY PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4303 LUBBOCK AVE, SNYDER, TX 79549-5609
(325) 207-4198
Mailing address
4303 LUBBOCK AVE, SNYDER, TX 79549-5609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002214
IA
225X00000X
Occupational Therapist
Primary
114683
TX
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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