Provider Demographics
NPI:1881044428
Name:PLUNKETT, MARIA (OTD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:PLUNKETT
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 OWEN ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-1558
Mailing Address - Country:US
Mailing Address - Phone:770-841-3500
Mailing Address - Fax:
Practice Address - Street 1:3600 HILLSBORO PIKE APT C4
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2132
Practice Address - Country:US
Practice Address - Phone:770-841-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5212225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist