Provider Demographics
NPI:1700120805
Name:DULKOSKI, LINDSEY (DPT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:DULKOSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 NC 55 HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8426
Mailing Address - Country:US
Mailing Address - Phone:919-290-2799
Mailing Address - Fax:919-290-2532
Practice Address - Street 1:1801 OLIVE CHAPEL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-8586
Practice Address - Country:US
Practice Address - Phone:919-535-8758
Practice Address - Fax:919-535-3271
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13797225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist