Individual
KATHERINE L. PLUNKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12 STILSON RD, WYOMING, RI 02898-1026
(401) 539-4600
(401) 539-4601
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00711
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25589-1
BLUE CROSS
RI
01
—
400873
BLUE CHIP
RI
01
—
640085
UNITED HEALTH CARE
RI
Enumeration date
03/01/2007
Last updated
12/27/2017
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