Individual
TAYLOR NICOLE PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2510 W HUDSON RD, ROGERS, AR 72756-2072
(479) 936-1061
Mailing address
2510 W HUDSON RD, ROGERS, AR 72756-2072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4556
AR
Other
Enumeration date
09/05/2018
Last updated
10/05/2021
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