MEDICARE: ROY CAESAR SOLLANO COLOSCOS OTR/L

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	119774	TX

General Provider Information

NPI Number	:	1881542249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROY CAESAR SOLLANO COLOSCOS OTR/L

Provider Business Mailing Address
First Line	:	2230 BAYLEAF MANOR DR
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-5253
Country	:	US
Telephone Number	:	908-878-6722
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 BAYLEAF MANOR DR
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-5253
Country	:	US
Telephone Number	:	908-878-6722
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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Directions to “ ROY CAESAR SOLLANO COLOSCOS OTR/L” Practice Location

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