Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 013751 | OH |
NPI | 1205277852 |
---|---|
Provider Name | Dr. Mary Claire Plummer |
First Address | Columbus, OH 43215-4863 |
Second Address | Dublin, OH 43017-2288 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2013 |
Last Update Date | 11/07/2013 |