MEDICARE: BRET PUTZIG DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	27086	MA
2	225100000X	Physical Therapist		MD
3	225100000X	Physical Therapist	PT7382	ME

General Provider Information

NPI Number	:	1952184210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRET PUTZIG DPT

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 W HIGH ST STE 3
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21921-8600
Country	:	US
Telephone Number	:	410-392-7027
Fax Number	:	410-392-5768

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2023
Last Update Date	:	06/02/2026

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Directions to “ BRET PUTZIG DPT” Practice Location

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