Provider Demographics
NPI:1205436458
Name:ALINO, SYDNEY E (OTR/L)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:E
Last Name:ALINO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:E
Other - Last Name:PAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:922 E BOBE ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-3962
Mailing Address - Country:US
Mailing Address - Phone:850-741-6715
Mailing Address - Fax:850-204-0489
Practice Address - Street 1:601 N PEARL ST
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-2749
Practice Address - Country:US
Practice Address - Phone:850-741-6715
Practice Address - Fax:850-204-0489
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056013892225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist