Individual
JERANE S PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16109 118TH RD, JAMAICA, NY 11434-2109
(646) 972-3309
Mailing address
16109 118TH RD, JAMAICA, NY 11434-2109
(646) 972-3309
(718) 712-2259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011560-01
NY
Other
Enumeration date
04/29/2024
Last updated
05/01/2024
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