Margie Bongat Manzano, | |
420 Se Myra Rd., Walla Walla, WA 99324-1796 | |
(509) 529-4480 | |
Not Available |
Full Name | Margie Bongat Manzano |
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Gender | Female |
Speciality | Physical Therapist |
Location | 420 Se Myra Rd., Walla Walla, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326326562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 10457 (Washington) | Primary |
Provider Name | Grays Harbor County Public Hospital District No 1 |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20031226000146 |
Mailing Address | Practice Location Address |
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Margie Bongat Manzano, 706 Whitman Street, Walla Walla, WA 99362 Ph: (509) 200-2964 | Margie Bongat Manzano, 420 Se Myra Rd., Walla Walla, WA 99324-1796 Ph: (509) 529-4480 |
Holly Ross Farnam, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 410 W Poplar St, Walla Walla, WA 99362 Phone: 509-897-2100 Fax: 509-897-5752 | |
Sharon Ham, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-525-3610 | |
Bella Buzz Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 W Poplar St Ste A, Walla Walla, WA 99362 Phone: 509-540-4889 | |
Dave Paul Barcenas, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 E Birch St, Suite 4, Walla Walla, WA 99362 Phone: 509-522-0114 | |
Christen L Davidson-juhnke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1384 Havstad Dr, Walla Walla, WA 99362 Phone: 509-876-2203 | |
Emily Stein, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1150 W Chestnut St, Walla Walla, WA 99362 Phone: 509-527-3066 | |
Gunnar Leighton James Sjoren, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 |