MEDICARE: JOVANNI LEE SOLIS OTR, OTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	126353	TX

General Provider Information

NPI Number	:	1457209918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOVANNI LEE SOLIS OTR, OTD

Provider Business Mailing Address
First Line	:	5406 N BIG 5 RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78541-5513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 E NOLANA LOOP
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-5838
Country	:	US
Telephone Number	:	956-502-5717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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