Individual
CARLEY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4250 COORS BLVD SW STE C, ALBUQUERQUE, NM 87121-5500
(505) 727-4961
Mailing address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2023-0139
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-2023-0139
NM LICENSE
NM
Enumeration date
07/30/2024
Last updated
09/15/2025
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