Individual
MR. ROBERT WILLIAM PUTNAM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC L
Contact information
Practice address
11932 KING CHURCH AVE NW, UNIONTOWN, OH 44685-8220
(330) 877-5000
Mailing address
1582 POPPY DR NW, MOGADORE, OH 44260-1717
(330) 701-1545
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT. 002198
OH
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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