MS. Maiden Louise Axalan Bacolod, PT

NPI #1306093661 in Pana, Illinois

Provider Information

NPI Number
1306093661
Entity Type
Individual
Name
MS. Maiden Louise Axalan Bacolod, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Aug 19, 2008
Last Updated
Aug 19, 2008

Practice Location

Address
900 S CHESTNUT
Address 2
PRAIRIE ROSE HEALTHCARE CENTER
City
Pana
ZIP Code
62557
Phone
(217) 562-3996

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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