DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARGIE BONGAT MANZANO

MEDICARE: MARGIE BONGAT MANZANO
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
1225100000XPhysical TherapistPT 10457WA

General Provider Information

NPI Number : 1326326562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGIE BONGAT MANZANO
Provider Business Mailing Address
First Line : 706 WHITMAN STREET
Second Line :
City : WALLA WALLA
State : WA
Zip : 99362
Country : US
Telephone Number : 509-200-2964
Fax Number :
Provider Business Practice Location Address
First Line : 420 SE MYRA RD.
Second Line :
City : WALLA WALLA
State : WA
Zip : 99324-1796
Country : US
Telephone Number : 509-529-4480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2011
Last Update Date : 07/21/2011

Similar Medicare Providers

1669614004 — CAROLE GOLES WONG PT
Practice Location Address:
410 W POPLAR ST.
WALLA WALLA, WA
99362-1796
Practice Phone: 509-897-2100
Practice Fax: 509-897-5752
1174514046 — LAUREL HILL ENTERPRISES
Practice Location Address:
420 SE MYRA RD
COLLEGE PLACE, WA
99324-1796
Practice Phone: 509-529-4480
Practice Fax: 509-529-8776
1356383202 — BD COLLEGE PLACE I, LLC
Practice Location Address:
420 SE MYRA RD
COLLEGE PLACE, WA
99324-1796
Practice Phone: 509-529-4480
Practice Fax: 509-529-8776
1841530011 — ERIN MARGARET HAWKINS CCC-SLP
Practice Location Address:
420 SE MYRA RD
COLLEGE PLACE, WA
99324-1796
Practice Phone: 509-386-5553
Practice Fax:
1144633942 — TAI HARMON PT
Practice Location Address:
420 SE MYRA RD
COLLEGE PLACE, WA
99324-1796
Practice Phone: 509-529-4480
Practice Fax:
1366909517 — REBEKAH MUIR PTA
Practice Location Address:
420 SE MYRA RD
COLLEGE PLACE, WA
99324-1796
Practice Phone: 509-529-4480
Practice Fax:

Directions to “ MARGIE BONGAT MANZANO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.