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NPI Code Detail

MEDICARE: MARIA G SOLIS O.T.R.

MEDICARE: MARIA G SOLIS O.T.R.
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
1225X00000XOccupational Therapist112171TX

General Provider Information

NPI Number : 1649435918
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA G SOLIS O.T.R.
Provider Business Mailing Address
First Line : 11425 JACK CUPIT LN
Second Line :
City : EL PASO
State : TX
Zip : 79936-0877
Country : US
Telephone Number : 915-241-6133
Fax Number :
Provider Business Practice Location Address
First Line : 10450 BRIAN MOONEY AVE
Second Line :
City : EL PASO
State : TX
Zip : 79935-2809
Country : US
Telephone Number : 915-598-6616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2008
Last Update Date : 02/18/2013

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