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ITZEL GUADALUPE SANDOVAL MANZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
100 W JACKSON AVE STE 201, ELLENSBURG, WA 98926-3635
(509) 925-6220
Mailing address
PO BOX 655, KITTITAS, WA 98934-0655
(509) 833-4983

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.PT.70069300
WA

Other

Enumeration date
01/05/2026
Last updated
01/05/2026
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