Provider Demographics
NPI:1528217163
Name:DOLAN, CAROLYN BYL (MSPT, TDPT)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:BYL
Last Name:DOLAN
Suffix:
Gender:F
Credentials:MSPT, TDPT
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:JANE
Other - Last Name:BYL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 VETERANS BLVD
Mailing Address - Street 2:KIASER PERMANENTE
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063
Mailing Address - Country:US
Mailing Address - Phone:650-299-4785
Mailing Address - Fax:650-299-4789
Practice Address - Street 1:1400 VETERANS BLVD
Practice Address - Street 2:KIASER PERMANENTE
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063
Practice Address - Country:US
Practice Address - Phone:650-299-4785
Practice Address - Fax:650-299-4789
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26721225100000X
MI5501011513225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist