| NPI | 1831793603 |
|---|---|
| Doing Business As | DR. IBOLIT |
| Entity Type | Organization |
| Authorized Contact | ALDONA L PATTERSON Billing 360-737-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2021-06-08 |