Most Relevant Information
Provider Data
| NPI Number: | 1003303611 |
| Provider Name: | JENNA PLUMMER |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 13626 |
Most Important Dates
| Enumeration Date: | 04/18/2018 |
| Last Updated: | 10/02/2019 |
Provider Practice Location
31 W GROVE ST
MIDDLEBORO
MA
023461859
Practice Location Phone/Fax
| Phone: | 5089475195 |
| Fax: | 5089473447 |
Provider Mailing Location
576 BROADHOLLOW RD
MELVILLE
NY
117475002
Provider Mailing Phone/Fax
| Phone: | 6313595859 |
| Fax: | 6313960864 |