Individual
MARIA REYNITA ILAO HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3290 N RIDGE RD STE 290, ELLICOTT CITY, MD 21043-3657
(410) 750-9006
Mailing address
11400 GUNPOWDER DR, FORT WASHINGTON, MD 20744-4282
(301) 675-1010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22885
MD
225100000X
Physical Therapist
3671
NM
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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