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Individual
ALEJANDRO ALFONSO CANTU
Active
Individual
ALEJANDRO ALFONSO CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108458
LICENSE NUMBER
TX
01
—
81517T
BCBS NUMBER
TX
Enumeration date
06/26/2007
Last updated
05/24/2021
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