MEDICARE: TOAN MANH LE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1346173036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOAN MANH LE

Provider Business Mailing Address
First Line	:	3465 DULUTH HWY APT 5118
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-3444
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 OLD MILTON PKWY BLDG C
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-3707
Country	:	US
Telephone Number	:	770-881-8100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ TOAN MANH LE ” Practice Location

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