Individual
JUSTIN R PUTTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2835 N GRANDVIEW BLVD STE 100, PEWAUKEE, WI 53072-5546
(262) 574-1100
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14723
WI
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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