Provider Demographics
NPI:1457531550
Name:HECHANOVA, ABNER ABAD (PT)
Entity Type:Individual
Prefix:MR
First Name:ABNER
Middle Name:ABAD
Last Name:HECHANOVA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 W LINCOLN RD APT H5
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-3545
Mailing Address - Country:US
Mailing Address - Phone:765-319-3546
Mailing Address - Fax:765-319-3546
Practice Address - Street 1:419 W LINCOLN RD APT H5
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3545
Practice Address - Country:US
Practice Address - Phone:765-319-3546
Practice Address - Fax:765-319-3546
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009005A225100000X
MI5501012881225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist