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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN MALACAD ABANTAO JR.

Active Sole Proprietor

Physical Therapy Assistant · PAXTON, IL

Registration Details

NPI Number
1003554759
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2022 (3.9123698132118 yrs)
Last Updated
May 23, 2022
Licenses
040925-01 (NY)
070.024114 (IL)
Sole Proprietor
Yes

Practice Information

Address
1001 E PELLS ST
PAXTON, IL, 609571300
Browse IL providers · Browse ZIP 60957
Phone
2173794361
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in PAXTON, IL

Name Credential NPI
GWYN L HOWARD P.T. 1841411360
MRS. KELLY ANN FICKLIN P.T. 1447587555
CHRISTIE L PUTNAM PT 1063820108
KELLY DAWN COOKE PT, DPT 1831742204
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.