Individual
MS. NICOLE LYNN ERDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1600 WESTWOOD AVE, RICHMOND, VA 23227-4622
(804) 474-1859
Mailing address
4906 DONEGAL TRACE CT, RICHMOND, VA 23228-6424
(804) 338-0041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601606
VA
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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