Provider Demographics
NPI:1407812886
Name:ORLANDO, CHRIS MICHAEL (ATC)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:MICHAEL
Last Name:ORLANDO
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 QUARRY ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-1233
Mailing Address - Country:US
Mailing Address - Phone:978-283-6782
Mailing Address - Fax:
Practice Address - Street 1:7830 3 MILE RD NW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49544-1236
Practice Address - Country:US
Practice Address - Phone:616-735-4050
Practice Address - Fax:616-735-4060
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAT-7962255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer