Provider Demographics
NPI:1962065839
Name:CURRAN, ORLA (ATC)
Entity type:Individual
Prefix:
First Name:ORLA
Middle Name:
Last Name:CURRAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 CENTER ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:OLD TOWN
Mailing Address - State:ME
Mailing Address - Zip Code:04468-1502
Mailing Address - Country:US
Mailing Address - Phone:207-659-6757
Mailing Address - Fax:
Practice Address - Street 1:5747 MEMORIAL GYM
Practice Address - Street 2:
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04469-5747
Practice Address - Country:US
Practice Address - Phone:207-659-6757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAT7392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
2000033898OtherBOARD OF CERTIFICATION