(800) 868-1923

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: