Provider Demographics
NPI:1457679904
Name:ABANILLA, MARIA ZENAIDA LIGON (PT)
Entity type:Individual
Prefix:MS
First Name:MARIA ZENAIDA
Middle Name:LIGON
Last Name:ABANILLA
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ZENAIDA
Other - Last Name:ABANILLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9616 HARRIS GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-0422
Mailing Address - Country:US
Mailing Address - Phone:704-616-1300
Mailing Address - Fax:
Practice Address - Street 1:5727 PROSPERITY CROSSING DR STE 1400
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-5604
Practice Address - Country:US
Practice Address - Phone:704-863-9970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACP043278T225100000X
NCPT12430225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist