Individual
ALEJANDRO ALFONSO CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1220 N MALINCHE AVE, LAREDO, TX 78043-3354
(956) 722-2431
(956) 722-7553
Mailing address
1220 N MALINCHE AVE, LAREDO, TX 78043-3354
(956) 722-2431
(956) 722-7553
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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