Provider Demographics
NPI:1275930265
Name:HADLEY, ERIKA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:HADLEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 LIGHTHOUSE AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1423
Mailing Address - Country:US
Mailing Address - Phone:419-345-9280
Mailing Address - Fax:831-375-7259
Practice Address - Street 1:500 LIGHTHOUSE AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-1423
Practice Address - Country:US
Practice Address - Phone:831-375-5909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-19
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41449225100000X
OH14424225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist