Individual
WESLEY A MENTELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1326
ND
225100000X
Physical Therapist
Primary
1337
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54130
—
ND
05
—
5835460
—
SD
Enumeration date
03/28/2006
Last updated
01/22/2008
Update your record
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