Individual
WESLEY CO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10101 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-6022
(505) 298-1231
Mailing address
10712 ASPIRATION LN SW, ALBUQUERQUE, NM 87121-9033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1383424
TX
225100000X
Physical Therapist
Primary
PT-2024-2036
NM
Other
Enumeration date
07/22/2024
Last updated
08/08/2024
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