Basic Information
Provider Information
NPI: 1144757097
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOWLING
FirstName: EMILEIGH
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: PHYSICAL THERAPIST
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DUNC BOX 3965
Address2:  
City: DURHAM
State: NC
PostalCode: 277100001
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3475 ERWIN RD BLDG 2
Address2:  
City: DURHAM
State: NC
PostalCode: 27705
CountryCode: US
TelephoneNumber: 9196811656
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/22/2017
LastUpdateDate: 08/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XP16966NCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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