Provider Demographics
NPI:1407891864
Name:CULINA, PAUL JOHN (ATC)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JOHN
Last Name:CULINA
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 1:6 SYLVAN RD
Mailing Address - Street 2:
Mailing Address - City:ORONO
Mailing Address - State:ME
Mailing Address - Zip Code:04473-3606
Mailing Address - Country:US
Mailing Address - Phone:207-581-1071
Mailing Address - Fax:207-581-4474
Practice Address - Street 1:5747 MEMORIAL GYM
Practice Address - Street 2:KESSOCK SPORTSMEDICINE CENTER
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04469-5747
Practice Address - Country:US
Practice Address - Phone:207-581-1071
Practice Address - Fax:207-581-4474
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME#AT162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME#AT16OtherSTATE LICENSE