Provider Demographics
NPI:1245760149
Name:CURRAN, MAEVE MARGURITE (PT,CWS)
Entity Type:Individual
Prefix:
First Name:MAEVE
Middle Name:MARGURITE
Last Name:CURRAN
Suffix:
Gender:F
Credentials:PT,CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 STEVENSON ST
Mailing Address - Street 2:
Mailing Address - City:CALISTOGA
Mailing Address - State:CA
Mailing Address - Zip Code:94515-1343
Mailing Address - Country:US
Mailing Address - Phone:760-641-0475
Mailing Address - Fax:
Practice Address - Street 1:684 BENICIA DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95409-3058
Practice Address - Country:US
Practice Address - Phone:707-538-0152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20369208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation