Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MAIDEN LOUISE AXALAN BACOLOD, PT
ActivePhysical Therapy Assistant · PANA, IL
Registration Details
- NPI Number
- 1306093661
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2008 (17.691446066442 yrs)
- Last Updated
- Aug 19, 2008
- License
-
070016218 (IL)
Practice Information
- Address
-
900 S CHESTNUTPRAIRIE ROSE HEALTHCARE CENTERPANA, IL, 62557Browse IL providers · Browse ZIP 62557
- Phone
- 2175623996
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PANA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. PATRA DAWN DEERE | P.T. | 1497969901 |
| MOLLIE RAE BEYERS | PT, DPT | 1891992368 |
| BRYCE FORTNER | PT, DPT | 1326300609 |
| GARRETT CLAXON | PT, DPT | 1043824584 |
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.