MEDICARE: ERIK AVIS CARVALHO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	13181	NC

General Provider Information

NPI Number	:	1033486238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIK AVIS CARVALHO PT

Provider Business Mailing Address
First Line	:	BOX 3965
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 ARRINGDON PARK DR
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5676
Country	:	US
Telephone Number	:	919-660-5049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2011
Last Update Date	:	05/04/2022

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