| Doctor Name: | MR. WILBUR B TABAMO |
| NPI Number: | 1427303486 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 070.018855 |
| Business Practice Address: | 4926 Hull St Apt 2w Skokie, IL - 600773129 |
| Business Phone Number: | 3124591281 |
| Business Fax Number: | |
| Mailing Address: | 16089 Poppyseed Cir, Unit 2008 DELRAY BEACH |
| State: | FL |
| Postal Code: | 334846314 |
| Phone Number: | 5614967993 |
| Fax Number: | 5614960589 |
| NPI Enumeration Date: | 07/16/2012 |
| NPI Last Update Date: | 07/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070.018855 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |