Individual provider · Type 1 NPI
Kelly Hidalgo, PT
Pediatric Physical Therapist · St. Simons Island, GA
Practice location
122 Strother Pl
St. Simons Island, GA 31522-1876
Fax (912) 466-7233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 7123 (GA) |
| Pediatric Physical Therapist Primary | 2251P0200X | 7123 (GA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1710046503
Kelly Hidalgo, PT's National Provider Identifier is 1710046503, issued on Dec 7, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in St. Simons Island, GA. The record was last updated on Mar 22, 2017.