Individual
ILEEN H NEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16500 SE 15TH ST, STE 160, VANCOUVER, WA 98683-9665
(360) 718-7944
(360) 718-7931
Mailing address
16500 SE 15TH ST, STE 160, VANCOUVER, WA 98683-9665
(360) 718-7944
(360) 718-7931
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 60103669
WA
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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