Provider Demographics
NPI:1700285269
Name:DRVOL, COREY (PT, DPT)
Entity type:Individual
Prefix:
First Name:COREY
Middle Name:
Last Name:DRVOL
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5404 CENTERVILLE LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7254
Mailing Address - Country:US
Mailing Address - Phone:402-305-4832
Mailing Address - Fax:
Practice Address - Street 1:6011 FARRINGTON RD STE B
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8168
Practice Address - Country:US
Practice Address - Phone:984-974-9977
Practice Address - Fax:984-974-3756
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP150912251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic