Individual
WANLI LEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7424 HOLLY AVE NE, 8100 WYOMING NE #261, ALBUQUERQUE, NM 87113-2554
(505) 797-5505
(505) 797-5510
Mailing address
8100 M4 WYOMING NE #261, ALBUQUERQUE, NM 87113-1963
(505) 797-5505
(505) 797-5510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14275
TN
225100000X
Physical Therapist
Primary
4714
NM
Other
Enumeration date
09/24/2015
Last updated
10/20/2023
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