Individual
DATA DIMITRI WENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7849 TRAMWAY BLVD NE STE A, ALBUQUERQUE, NM 87122-2529
(505) 485-7468
Mailing address
7849 TRAMWAY BLVD NE STE A, ALBUQUERQUE, NM 87122-2529
(505) 485-7468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0200
NM
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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