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: |