Individual
MRS. ORA LEE PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3316 WHITTIER AVE, FLINT, MI 48506-4717
(810) 287-4055
Mailing address
3316 WHITTIER AVE, FLINT, MI 48506-4717
(810) 287-4055
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001419
MI
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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