Rainier Phillip Hidalgo, OT

NPI #1972762268 in Morton Grove, Illinois

Provider Information

NPI Number: 1972762268
Entity Type: Individual
Name: Rainier Phillip Hidalgo, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jun 3, 2008
Last Updated: Jun 3, 2008

Practice Location

Address: 6005 DEMPSTER ST
City: Morton Grove
State: Illinois
ZIP Code: 60053-2943
Phone: (847) 470-1844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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