MEDICARE: PAMELA ANN CURRAN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501002402	MI

General Provider Information

NPI Number	:	1396964359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA ANN CURRAN PT

Provider Business Mailing Address
First Line	:	6020 W MAPLE RD
Second Line	:	STE 500
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-4409
Country	:	US
Telephone Number	:	248-851-6999
Fax Number	:	248-851-6898

Provider Business Practice Location Address
First Line	:	6020 W MAPLE RD
Second Line	:	SUITE 500
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-4409
Country	:	US
Telephone Number	:	248-851-6999
Fax Number	:	248-851-6898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	01/10/2020

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Directions to “ PAMELA ANN CURRAN PT” Practice Location

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