Provider Demographics
NPI:1942774187
Name:PLUMMER, JAMES (OTR/L)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:PLUMMER
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 BEAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03276-4334
Mailing Address - Country:US
Mailing Address - Phone:603-998-1929
Mailing Address - Fax:
Practice Address - Street 1:141 BEAN HILL RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NH
Practice Address - Zip Code:03276-4334
Practice Address - Country:US
Practice Address - Phone:603-998-1929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2153225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist