Individual provider · Type 1 NPI
Laura Marie Pulliam, PT, DPT
Pediatric Physical Therapist · Edgewood, NM
Practice location
1090 Mountain Valley Road
Edgewood, NM 87015
Mailing address
5315 Vista Lejana NE
Albuquerque, NM 87111-6702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 5327 (NM) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
Another provider at this address
About NPI 1740772490
Laura Marie Pulliam, PT, DPT's National Provider Identifier is 1740772490, issued on May 30, 2018. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Edgewood, NM. The record was last updated on Apr 21, 2023.