Individual
MR. NICHOLAS PAUL HATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1234 W CAMERON AVE APT 136, WEST COVINA, CA 91790-3554
(626) 466-6470
Mailing address
1234 W CAMERON AVE APT 136, WEST COVINA, CA 91790-3554
(626) 466-6470
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51491
CA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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