MEDICARE: CHRISTINE SOLAN PT

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	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1662	OTHER	NV	LICENSE #

General Provider Information

NPI Number	:	1124134754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE SOLAN PT

Provider Business Mailing Address
First Line	:	1341 S RAINBOW BLVD
Second Line	:	#201
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9069
Country	:	US
Telephone Number	:	702-363-7720
Fax Number	:

Provider Business Practice Location Address
First Line	:	1341 S RAINBOW BLVD
Second Line	:	STE 201
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9069
Country	:	US
Telephone Number	:	702-363-7720
Fax Number	:

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	08/05/2010

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Directions to “ CHRISTINE SOLAN PT” Practice Location

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