| Ms Maiden Louise Axalan Bacolod, PT | |
|
900 S Chestnut, Prairie Rose Healthcare Center, Pana, IL 62557 | |
| (217) 562-3996 | |
| Not Available |
| Full Name | Ms Maiden Louise Axalan Bacolod |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 900 S Chestnut, Pana, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306093661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070016218 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Maiden Louise Axalan Bacolod, PT 306 W 7th St, Apt 6, Pana, IL 62557-1569 Ph: (708) 990-6217 | Ms Maiden Louise Axalan Bacolod, PT 900 S Chestnut, Prairie Rose Healthcare Center, Pana, IL 62557 Ph: (217) 562-3996 |
Garrett Claxon, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6328 | |
Bryce Fortner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6238 | |
Mrs. Patra Dawn Deere, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6328 Fax: 217-562-6281 | |
Mollie Rae Beyers, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6328 |