Healthcare Provider Details

I. General information

NPI: 1922150184
Provider Name (Legal Business Name): ISABELLA ANN DOLEGA-KOWALEWSKI P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 STATION 22 1/2 ST
SULLIVANS ISLAND SC
29482-9756
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 843-371-3930
  • Fax:
Mailing address:
  • Phone: 423-702-4389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3341
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: