Provider Demographics
NPI:1538417712
Name:PLUMMER, BRITTANY (ATC, LAT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WINDY HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:CALIFON
Mailing Address - State:NJ
Mailing Address - Zip Code:07830-4371
Mailing Address - Country:US
Mailing Address - Phone:908-752-1637
Mailing Address - Fax:
Practice Address - Street 1:104 W WATER ST
Practice Address - Street 2:APARTMENT 3
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17745-1296
Practice Address - Country:US
Practice Address - Phone:908-752-1637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0052602255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer