Individual
ALONZO RAFAEL HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
909 S FAIR OAKS AVE, PASADENA, CA 91105-2625
(626) 389-9515
Mailing address
909 S FAIR OAKS AVE, PASADENA, CA 91105-2625
(626) 389-9515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19402
CA
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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