Healthcare Provider Details

I. General information

NPI: 1841622370
Provider Name (Legal Business Name): ERIN DULANY KOVARIK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 04/15/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 CHAPEL RIDGE RD STE 150
APEX NC
27502-8504
US

IV. Provider business mailing address

981 HIGH HOUSE RD STE 100
CARY NC
27513-3510
US

V. Phone/Fax

Practice location:
  • Phone: 919-363-3640
  • Fax: 919-363-3642
Mailing address:
  • Phone: 919-388-0111
  • Fax: 919-388-8668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305208197
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP19572
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: