Individual
NICOLE PUTTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5 RICHLEE RD, NORWALK, CT 06851-6016
(203) 308-9384
Mailing address
5 RICHLEE RD, NORWALK, CT 06851-6016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004644
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004644
DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
02/25/2017
Last updated
02/25/2017
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