IndividualActive
Laura Pulliam, PT, DPT
NPI 1740772490 · Pediatric Physical Therapist · Edgewood, NM
Provider details
- NPI number
- 1740772490
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 5327 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1090 Mountain Valley Road
Edgewood, NM 87015
Phone: (505) 281-1811
Approximate (ZIP-level) locationGet directions
Mailing address
5315 Vista Lejana Ne
Albuquerque, NM 87111-6702
Registry dates
- Enumerated
- 2018-05-30
- Last updated
- 2023-04-21
- Certified
- 2023-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.