Individual
SHENG WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4312 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
(505) 908-3430
Mailing address
PO BOX 35734, ALBUQUERQUE, NM 87176-5734
(505) 908-5553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3771
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86181556
—
NM
Enumeration date
04/18/2017
Last updated
03/05/2020
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