Most Relevant Information
Provider Data
NPI Number: | 1003554759 |
Provider Name: | JOHN MALACAD ABANTAO |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 040925-01 |
Most Important Dates
Enumeration Date: | 05/23/2022 |
Last Updated: | 05/23/2022 |
Provider Practice Location
1001 E PELLS ST
PAXTON
IL
609571300
Practice Location Phone/Fax
Phone: | 2173794361 |
Fax: |
Provider Mailing Location
325 E 13TH ST
GIBSON CITY
IL
609361104
Provider Mailing Phone/Fax
Phone: | 9292135523 |
Fax: |