Individual
NICOLE LERMA HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-7800
Mailing address
11217 MORRIS PL NE, ALBUQUERQUE, NM 87112-5503
(505) 358-8757
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0785
NM
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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