Individual
LAURA PUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
55 MAUILANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6681
Mailing address
55 MAUILANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1092
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03507802
—
HI
Enumeration date
08/20/2006
Last updated
10/09/2007
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