Individual
HELEN MINNETTA PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL, PA
Contact information
Practice address
300 E. HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-2535
(706) 787-1327
Mailing address
300 E. HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-2535
(706) 787-1327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT001332
GA
363A00000X
Physician Assistant
Primary
005162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000692601B
—
GA
Enumeration date
12/22/2006
Last updated
10/03/2013
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