Individual
LESLIE C WENDEROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 PAN AMERICAN FWY NE, STE D, ALBUQUERQUE, NM 87107-4792
(505) 888-4469
(505) 889-8142
Mailing address
3530 PAN AMERICAN FWY NE, STE D, ALBUQUERQUE, NM 87107-4792
(505) 888-4469
(505) 889-8142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2764
NM
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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