Individual
WENTAO LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 INDIAN RIVER RD STE B7, ORANGE, CT 06477-3690
(203) 298-9828
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15020
CT
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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