Provider Demographics
NPI:1245987957
Name:DORLEY, ADRIENNE (DPT)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:DORLEY
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8064 ALFORD RD
Mailing Address - Street 2:
Mailing Address - City:INDIAN LAND
Mailing Address - State:SC
Mailing Address - Zip Code:29707-9015
Mailing Address - Country:US
Mailing Address - Phone:610-551-0397
Mailing Address - Fax:
Practice Address - Street 1:9787 CHARLOTTE HWY STE 400
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29707-8103
Practice Address - Country:US
Practice Address - Phone:610-551-0397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCP041101T225100000X
SC11808225100000X
NCP21629225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist