Individual
MANTING LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2000
Mailing address
90 SPRAGUE ST, DEDHAM, MA 02026-6331
(857) 544-1813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25091
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25091
LICENSE NUMBER
MA
Enumeration date
12/17/2020
Last updated
02/24/2025
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