Individual
BETSY PUTBRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 988-6131
Mailing address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 988-6131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023798
IL
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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