Provider Demographics
NPI:1083409197
Name:O'ROURKE, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:O'ROURKE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 DEAN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1445
Mailing Address - Country:US
Mailing Address - Phone:774-284-1998
Mailing Address - Fax:
Practice Address - Street 1:300 LOCUST ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-6504
Practice Address - Country:US
Practice Address - Phone:508-222-1922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program