Individual
CORAZON MANGLANLAN OBILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1609 SE 92ND COURT, VANCOUVER, WA 98664
(360) 737-7527
(360) 694-8613
Mailing address
1609 SE 92ND COURT, VANCOUVER, WA 98664
(360) 917-8562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
60113682
WA
225100000X
Physical Therapist
Primary
6112
OR
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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