MEDICARE: MARAHYA SOLAREZ

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	224Z00000X	Occupational Therapy Assistant	OTA-047142	AZ

General Provider Information

NPI Number	:	1558140947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARAHYA SOLAREZ

Provider Business Mailing Address
First Line	:	2066 S BARRINGTON
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85209-5315
Country	:	US
Telephone Number	:	602-710-6208
Fax Number	:

Provider Business Practice Location Address
First Line	:	2066 S BARRINGTON
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85209-5315
Country	:	US
Telephone Number	:	602-710-6208
Fax Number	:

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

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	09/25/2023

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Directions to “ MARAHYA SOLAREZ ” Practice Location

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