Provider Demographics
NPI:1538640230
Name:ORLOWSKI, NICOLE KATHRYN (PT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:KATHRYN
Last Name:ORLOWSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 FOXHALL RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28570-6790
Mailing Address - Country:US
Mailing Address - Phone:252-223-0589
Mailing Address - Fax:
Practice Address - Street 1:210 FOXHALL RD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NC
Practice Address - Zip Code:28570-6790
Practice Address - Country:US
Practice Address - Phone:252-223-0589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP8634225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist