Individual
HEATHER PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 626-0785
Mailing address
49 DUNCAN RD, WARWICK, RI 02886-7901
(760) 481-2780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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