Doctor Name: | JOSE ABANTAO |
NPI Number: | 1003936246 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT004580 |
Business Practice Address: | 901 18th St E Tifton, GA - 317943648 |
Business Phone Number: | 2293533347 |
Business Fax Number: | 2293537722 |
Mailing Address: | 901 18th St E, TIFTON |
State: | GA |
Postal Code: | 317943648 |
Phone Number: | 2293533347 |
Fax Number: | 2293537722 |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT004580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |