Individual
MRS. DEBRA EAINE PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
112 68TH ST NW, FORT PAYNE, AL 35967-8300
(256) 997-9929
(256) 844-2994
Mailing address
1597 MCCURDY AVE N, RAINSVILLE, AL 35986-4429
(256) 638-9350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2140
AL
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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