Provider Demographics
NPI:1851042261
Name:CURTIS, MARIE
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ROSWELL TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-9346
Mailing Address - Country:US
Mailing Address - Phone:540-686-2779
Mailing Address - Fax:
Practice Address - Street 1:95 SKIDAWAY ISLAND PARK RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-1104
Practice Address - Country:US
Practice Address - Phone:912-598-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2154404225200000X
VA2306605979225200000X
GAPTA005066225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant