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General NPI Number Information
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NPI Number | 1881871671
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Entity Type | Individual
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Provider Name | MR. ENGELBERT ARIOSA SOLIS
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Gender | Male
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 40 GREENWAY CT STE BC
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City | NEWNAN
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State | GA
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Zip | 30265-2326
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Country | US
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Telephone | 770-502-0195
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Fax |
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Provider Business Mailing Address
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Address Line | 11120 NEW HAMPSHIRE AVE
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City | SILVER SPRING
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State | MD
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Zip | 20904-2633
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Country | US
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Telephone | 301-642-0434
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 21700
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 015803
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License Number State | GA
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