Organization
MANUAL MEDICINE & REHABILITATION CENTER PC
Active
Other names
Dr.Ibolit
Organization subpart
No
Provider details
NPI number
Authorized official
ALDONA L PATTERSON (BILLING)
(360) 737-9665
Entity
Organization
Contact information
Practice address
221A NE 104TH AVE STE 205, VANCOUVER, WA 98664-4539
(360) 737-9665
(360) 737-9634
Mailing address
221A NE 104TH AVE STE 205, VANCOUVER, WA 98664-4539
(360) 737-9665
(360) 737-9634
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH00033960
WA
111N00000X
Chiropractor
Primary
CH00034303
WA
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
MA00020024
WA
Other
Enumeration date
04/29/2008
Last updated
06/08/2021
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