Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY HIDALGO, PT
ActivePediatric Occupational Therapy · ST SIMONS ISLAND, GA
Registration Details
- NPI Number
- 1710046503
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 7, 2006 (19.413714562006 yrs)
- Last Updated
- Mar 22, 2017
- Licenses
-
7123 (GA)7123 (GA)
Practice Information
- Address
-
122 STROTHER PLST SIMONS ISLAND, GA, 315221876Browse GA providers · Browse ZIP 31522
- Phone
- 6784636621
- Fax
- 9124667233
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
- Additional Specialty
- Pediatric Occupational Therapy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.