Healthcare Provider Details

I. General information

NPI: 1821649468
Provider Name (Legal Business Name): MICHAEL CURTIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2019
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 COMMONS AVE STE 4D
WINDHAM ME
04062-5554
US

IV. Provider business mailing address

103 MILL RIDGE RD
NORTH YARMOUTH ME
04097-6132
US

V. Phone/Fax

Practice location:
  • Phone: 207-892-7642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT5969
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: