Individual
CARRINE ELIZABETH PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1950 BRIDGE RD, EASTHAM, MA 02642-3272
(774) 722-5204
Mailing address
1950 BRIDGE RD, EASTHAM, MA 02642-3272
(774) 722-5204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2888
MA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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