Provider Demographics
NPI:1881970853
Name:CURRAN, MEGAN JILENE
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JILENE
Last Name:CURRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:AMICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:635 PARKAIRE LN APT 909
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-2480
Mailing Address - Country:US
Mailing Address - Phone:864-320-1197
Mailing Address - Fax:
Practice Address - Street 1:635 PARKAIRE LN APT 909
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-2480
Practice Address - Country:US
Practice Address - Phone:864-320-1197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-22
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12613225100000X
OH012279225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist